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Jessica Kwon

Counselor β€’ Seattle, WA

Active NPI 1275905663 Individual Practitioner Female Practitioner
Practice location in NPPES

600 Broadway Ste 170
Seattle, WA 981225332

Call 2069012000 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

600 Broadway Ste 170

Seattle, WA 981225332

Telephone 2069012000
Organization at the Same NPPES Address or Phone
Sound Facility NPI 1053971234

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

NPI first issued

2015

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 Seattle and Washington

2,292 active clinicians are listed under Counselor with a practice address in Seattle, WA (11,464 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

0.2% of these 2,292 clinicians have the CMS telehealth indicator.

0.6% of these 2,292 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: 2023-08-28
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA SC61433318

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

Clinicians Sharing This Practice Address or Phone

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

1 listed
Erinn King , PA-C

Physician Assistant

NPI 1023128923

Physician Assistant (Certified)

Career & Practice History Timeline

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

16 Historical Events
πŸ“
Updated Practice Location August 28, 2023

Registered at 600 BROADWAY STE 170, SEATTLE, WA 981225332 (Tel: 2069012000)

πŸ“
Updated Business Mailing Address August 28, 2023

Registered at 6400 SOUTHCENTER BLVD, TUKWILA, WA 981882547 (Tel: 2069012000)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2023

Counselor (license number reported to NPPES: WA SC61433318)

πŸ“
Updated Practice Location August 23, 2022

Registered at 13925 INTERURBAN AVE S STE 120, TUKWILA, WA 981685718 (Tel: 2069480096)

πŸ“
Updated Business Mailing Address August 23, 2022

Registered at 13925 INTERURBAN AVE S STE 120, TUKWILA, WA 981685718 (Tel: 2069480096)

πŸ“
Updated Practice Location October 13, 2021

Registered at 2200 RAINIER AVE S # 201, SEATTLE, WA 981444642 (Tel: 2064179904)

πŸ“
Updated Business Mailing Address October 13, 2021

Registered at 2200 RAINIER AVE S # 201, SEATTLE, WA 981444642 (Tel: 2064179904)

πŸ“
Updated Practice Location June 27, 2019

Registered at 2133 3RD AVE, SEATTLE, WA 98121 (Tel: 2063793536)

πŸ“
Updated Business Mailing Address June 27, 2019

Registered at 2133 3RD AVE, SEATTLE, WA 981212385 (Tel: 2063793536)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2019

Counselor

βœ…
NPI Profile Active August 09, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 09, 2016

Registered at 2030 DIVISION ST, BELLINGHAM, WA 982268014 (Tel: 3606762020)

πŸ“
Business Mailing Address (Initial Record) August 09, 2016

Registered at PO BOX 3810, EVERETT, WA 982138810 (Tel: 4253498359)

πŸ‘€
Provider Name / Credentials (Initial Record) August 09, 2016

Recorded as JESSICA KWON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2016

Social Worker (license number reported to NPPES: WA CG60642148)

🟒
Initial NPI Registration & Enumeration October 23, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275905663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2015
Last Update: August 28, 2023
Sole Proprietor: No

Mailing Address

6400 Southcenter Blvd

Tukwila, WA 981882547

Phone: 2069012000

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.