KAITLIN JOSEPHINE JACKSON
NPI 1063160950
Counselor in Bellevue, WA

NPI Status: Active since March 10, 2022

Contact Information

3805 108TH AVE NE STE 204
BELLEVUE, WA
ZIP 98004
Phone: (425) 242-1713

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  • Individual
  • Female
  • Counselor

About KAITLIN JACKSON

This page provides the complete NPI Profile along with additional information for Kaitlin Jackson, a provider established in Bellevue, Washington with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1063160950 assigned on March 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1063160950
Provider Name
KAITLIN JOSEPHINE JACKSON
Gender
Female
Entity Type
Individual
Location Address
3805 108TH AVE NE STE 204 BELLEVUE, WA 98004
Location Phone
(425) 242-1713
Mailing Address
3805 108TH AVE NE STE 204 BELLEVUE, WA 98004
Is Sole Proprietor?
Yes
Enumeration Date
03-10-2022
Last Update Date
03-10-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063160950
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123260910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 2 + 6 + 0 + 9 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1063160950 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568946366 LISSA LEE FRYXELL CDPT
Individual
Counselor (Addiction (Substance Use Disorder))3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1831673920 LAURA MCDOWELL
Individual
Counselor (Mental Health)3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1619452950 ANDREA LACEY BEAN BS, AAC
Individual
Case Manager/Care Coordinator3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1326513581 WENDY BLEVINS BS, AAC
Individual
Case Manager/Care Coordinator3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1982179073 TRAVIS WILLIAM MINER
Individual
Case Manager/Care Coordinator3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1467927442 FE SCHNEIDER
Individual
Case Manager/Care Coordinator3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1902371602 TERRELL TUCKER FLOOD BAS, AAC
Individual
Case Manager/Care Coordinator3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1831664317 ALEXANDRA VINSON
Individual
Case Manager/Care Coordinator3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1467927095 HANNAH SHERWOOD
Individual
Case Manager/Care Coordinator3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1962912105MS. CUYLER ANN SIMMONS MSW, LSWAIC, CDPT
Individual
Social Worker (Clinical)3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1083262356 THOMAS ALAN TOWLER CDP, LADC II
Individual
Counselor (Addiction (Substance Use Disorder))3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1962053520 REMY NELSON
Individual
Counselor3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1528600475 EMILY MARTIN
Individual
Counselor3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1508484361 ERIN CARTER
Individual
Case Manager/Care Coordinator3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1528679099 SARAH L KLAUSNER
Individual
Student in an Organized Health Care Education/Training Program3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1902410061 SUSAN ELIZABETH PAVLANSKY
Individual
Counselor3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1669086823 GENOVEVA MOLDOVAN
Individual
Student in an Organized Health Care Education/Training Program3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1104476571 BRITT WESTON-BALL
Individual
Counselor3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1174118236 JING CAO
Individual
Counselor3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713
1265917199 ASHLEY BURNETTE
Individual
Counselor (Addiction (Substance Use Disorder))3805 108TH AVE NE STE 204
BELLEVUE, WA 98004
(425) 242-1713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063160950, enumerated in the NPI registry as an "individual" on March 10, 2022

The provider is located at 3805 108th Ave Ne Ste 204 Bellevue, Wa 98004 and the phone number is (425) 242-1713

The provider's speciality is Counselor with taxonomy code 101Y00000X

This NPI record was last updated on March 10, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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