JC EPHRAIM JR. CCC, SUDP, MHP, CAAL
NPI 1497028823
Counselor - Mental Health in Renton, WA
NPI Status: Active since February 15, 2012
Contact Information
15 S GRADY WAY STE 310
RENTON, WA
ZIP 98057
Phone: (206) 726-0430
- Individual
- Male
- Counselor
- Mental Health
- PECOS Enrolled
About JC EPHRAIM
This page provides the complete NPI Profile along with additional information for Jc Ephraim, a provider established in Renton, Washington with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1497028823 assigned on February 2012. The practitioner's primary taxonomy code is 101YM0800X with license number CU61584983 (WA). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1497028823
- Provider Name
- JC EPHRAIM JR. CCC, SUDP, MHP, CAAL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 15 S GRADY WAY STE 310 RENTON, WA 98057
- Location Phone
- (206) 726-0430
- Mailing Address
- PO BOX 6385 KENT, WA 98064
- Mailing Phone
- (206) 650-4024
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-15-2012
- Last Update Date
- 07-12-2025
- Code Navigator
A mental health counselor like Jc Ephraim 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.
Location Map
Secondary Locations
- 15 S Grady Way Ste 241
Renton, WA 98057
(206) 650-4024
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.
- CU61584983
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | CP00001663 (WA) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | CL60461451 (WA) |
Medicare Participation & PECOS Enrollment Status
Jc Ephraim is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
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.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JC EPHRAIM JR. CCC, SUDP, MHP, CAAL
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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. | |||||||||
| 1 | 4 | 9 | 7 | 0 | 2 | 8 | 8 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 0 | 2 | 16 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 0 + 2 + 1 + 6 + 8 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1497028823 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720566219 | MICHELL ALLERT Individual | Counselor (Mental Health) | 15 S GRADY WAY STE 310 RENTON, WA 98057 (206) 726-0430 |
| 1447439690 | JERRY EUGENE GREEN M.A. Individual | Counselor (Professional) | 15 S GRADY WAY STE 310 RENTON, WA 98057 (425) 652-1886 |
| 1609641224 | GAYLE ROBINSON RN Individual | Registered Nurse | 15 S GRADY WAY STE 310 RENTON, WA 98057 (206) 726-0430 |
| 1962774455 | SISTERS IN COMMON Organization | Community/Behavioral Health | 15 S GRADY WAY STE 310 RENTON, WA 98057 (206) 726-0430 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497028823, enumerated in the NPI registry as an "individual" on February 15, 2012
The provider is located at 15 S Grady Way Ste 310 Renton, Wa 98057 and the phone number is (206) 726-0430
The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on February 15, 2012. 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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