Jenna Marie Moore

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60940611 Issued in WA

Practice address

2505 Sulwhanon Dr.
Everson, WA 98247-9602

Phone

(360) 966-2376

Fax

(360) 966-3413

NPI assigned

Feb 17, 2014

Last updated

Mar 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1982028619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7723",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967208949",
            "telephone_number": "330-881-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SULWHANON DR.",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "982479602",
            "telephone_number": "360-966-2376",
            "fax_number": "360-966-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-17",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60940611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Manookin
• Hanna Lynn McNulty
• Jonathan David Miller, D.C.
• Chan M Min
• Sharon Anne Missiaen, PHD
• Randall Moore
• Jamie Melinda Morecombe
• Sarah Gladys Morgan-Dow, LMP
• Kelly Muren
• Marissa Liana Myres

• Mental Health Counselor in Everson, WA
• Providers in Everson, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.