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Jay E Mitchell , MA, MFT

Counselor β€’ Deer Park, WA

Active NPI 1013596212 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

110 W Crawford St Ste J
Deer Park, WA 990065356

Call 5098186844 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

110 W Crawford St Ste J

Deer Park, WA 990065356

Telephone 5098186844
Organization at the Same NPPES Address or Phone
49 Degrees Counseling Inc Facility NPI 1780471557

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Chewelah, WA; Colville, WA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jay Mitchell has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jay Mitchell as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Deer Park and Washington

2 active clinicians are listed under Counselor with a practice address in Deer Park, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-27
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA 61315505

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MARRIAGE AND FAMILY THERAPIST

Medicare Enrollment ID

I20250619002485

Enrollment State Jurisdiction

WA

PECOS Control ID

3375054968

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

301 E Clay Ave Ste 201

Chewelah, WA 991098936

Phone: 5096844597

165 E Hawthorne Ave

Colville, WA 991142629

Phone: 5096844597

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location October 07, 2022

Registered at 110 W CRAWFORD ST STE J, DEER PARK, WA 990065356 (Tel: 5098186844)

πŸ“
Updated Business Mailing Address October 07, 2022

Registered at PO BOX 1641, DEER PARK, WA 990061641 (Tel: 5098186844)

πŸ‘€
Provider Name / Credentials Updated October 07, 2022

Recorded as JAY MITCHELL, MA, MFT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2022

Counselor (license number reported to NPPES: WA 61315505)

βœ…
NPI Profile Active April 05, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 05, 2021

Registered at 301 E CLAY AVE STE 201, CHEWELAH, WA 991098936 (Tel: 5096844597)

πŸ“
Business Mailing Address (Initial Record) April 05, 2021

Registered at 165 E HAWTHORNE AVE, COLVILLE, WA 991142629 (Tel: 5096844597)

πŸ‘€
Provider Name / Credentials (Initial Record) April 05, 2021

Recorded as JAY MITCHELL, BS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Counselor (license number reported to NPPES: WA 61150767)

🟒
Initial NPI Registration & Enumeration April 05, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013596212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2021
Last Update: October 07, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 1641

Deer Park, WA 990061641

Phone: 5098186844

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.