Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jesse Lee Lloyd , BA

Counselor β€’ Olympia, WA

Active NPI 1912528043 Individual Practitioner Male Practitioner
Practice location in NPPES

3857 Martin Way E
Olympia, WA 985065268

Call 3607047170 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

3857 Martin Way E

Olympia, WA 985065268

Telephone 3607047170
Organization at the Same NPPES Address or Phone
Behavioral Health Resources Facility NPI 1093895203

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 1 additional practice-address record in Olympia, 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.

NPI first issued

2020

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

Compared with the same specialty in Olympia and Washington

414 active clinicians are listed under Counselor with a practice address in Olympia, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Olympia

0% of these 414 clinicians have the CMS telehealth indicator.

0.5% of these 414 clinicians are listed by CMS as accepting Medicare assignment.

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: 2022-09-16
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES WA 61034537
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

Secondary Practice Locations

203 4th Ave E Ste 301

Olympia, WA 985011188

Phone: 3603577986

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. George Petzinger , MD

Psychiatry & Neurology - Psychiatry

NPI 1003905522

Doctor of Medicine (M.D.)

Dr. Dawn Vanderhoef , PhD, DNP, APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083648604

Doctor of Philosophy (Ph.D.), Doctor of Nursing Practice, Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location September 16, 2022

Registered at 3857 MARTIN WAY E, OLYMPIA, WA 985065268 (Tel: 3607047170)

πŸ“
Updated Business Mailing Address September 16, 2022

Registered at 3857 MARTIN WAY E, OLYMPIA, WA 985065268 (Tel: 3607047170)

βœ…
NPI Profile Active April 29, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 29, 2020

Registered at 203 4TH AVE E STE 301, OLYMPIA, WA 985011188 (Tel: 3603577986)

πŸ“
Business Mailing Address (Initial Record) April 29, 2020

Registered at 2604 N PEARL ST, CENTRALIA, WA 985315618 (Tel: 3602697535)

πŸ‘€
Provider Name / Credentials (Initial Record) April 29, 2020

Recorded as JESSE LLOYD, BA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2020

Counselor (license number reported to NPPES: WA 61034537)

🟒
Initial NPI Registration & Enumeration April 29, 2020

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1912528043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2020
Last Update: September 16, 2022
Sole Proprietor: Yes

Mailing Address

3857 Martin Way E

Olympia, WA 985065268

Phone: 3607047170

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.