JESSICA JARRIS LMHCA
NPI 1073160594
Counselor - Mental Health in Seattle, WA

NPI Status: Active since August 20, 2019

Contact Information

4027 21ST AVE W
SEATTLE, WA
ZIP 98199
Phone: (206) 395-8002

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About JESSICA JARRIS

This page provides the complete NPI Profile along with additional information for Jessica Jarris, a provider established in Seattle, Washington with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1073160594 assigned on August 2019. The practitioner's primary taxonomy code is 101YM0800X with license number MC60968504 (WA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1073160594
Provider Name
JESSICA JARRIS LMHCA
Gender
Female
Entity Type
Individual
Location Address
4027 21ST AVE W SEATTLE, WA 98199
Location Phone
(206) 395-8002
Mailing Address
4426 MONTANA CIR W SEATTLE, WA 98199
Mailing Phone
(206) 718-5321
Is Sole Proprietor?
Yes
Enumeration Date
08-20-2019
Last Update Date
08-20-2019
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A mental health counselor like Jessica Jarris provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jessica Jarris opted out of Medicare effective on 02-08-2024 until 02-08-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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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 Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
MC60968504
License State
WA

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 02-08-2024

  • Opt-Out End Date: 02-08-2026

  • Eligible to Order and Refer? No

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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.
1073160594
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143260518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 2 + 6 + 0 + 5 + 1 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1073160594 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538715198 SOPHIA A MEHL LMHC
Individual
Counselor (Mental Health)4027 21ST AVE W
SEATTLE, WA 98199
(206) 485-0300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073160594, enumerated in the NPI registry as an "individual" on August 20, 2019

The provider is located at 4027 21st Ave W Seattle, Wa 98199 and the phone number is (206) 395-8002

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

No, the provider signed an affidavit on February 08, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 08, 2026.

This NPI record was last updated on August 20, 2019. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.