Active NPI
Jody Lane Pries
- Counselor
- Marysville, WA
National Provider Identifier
1992033807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- RC00049399
- Practice address
- 8821 51St Ave NE
Marysville, WA 98270-2605 - Phone
- (360) 653-3140
- Fax
- (360) 657-4103
- NPI assigned
- Dec 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | RC00049399 | WA | Primary |
| Professional Counselor | 101YP2500X | HP10001380 | WA |
Addresses
Primary practice location
8821 51St Ave NE
Marysville, WA 98270-2605
Mailing address
8821 51St Ave NE
Marysville, WA 98270-2605
Phone (360) 653-3140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00049399 | WA | MD | Counselor |
| HP10001380 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1992033807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8821 51ST AVE NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982702605",
"telephone_number": "360-653-3140",
"fax_number": "360-657-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8821 51ST AVE NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982702605",
"telephone_number": "360-653-3140",
"fax_number": "360-657-4103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIES",
"first_name": "JODY",
"middle_name": "LANE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-03",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "RC00049399",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "HP10001380",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.