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MR. JAY E MITCHELL MA, MFT
NPI 1013596212
Counselor in Deer Park, WA

Active since April 05, 2021PECOS Enrolled
110 W CRAWFORD ST STE J, DEER PARK, WA 99006(509) 818-6844 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2022, Apr 5, 2021 (2 updates tracked since 2021).

About Mr. Jay E Mitchell Ma, Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAY E MITCHELL MA, MFT (NPI 1013596212) is an individual counselor in Deer Park, Washington, licensed in Washington (61315505) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1013596212
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. JAY E MITCHELLCredential: MA, MFT
Location Address110 W CRAWFORD ST STE JDeer Park, WA 99006-5356
Mailing AddressPo Box 1641Deer Park, WA 99006-1641 · (509) 818-6844
Phone(509) 818-6844
Sole ProprietorYes
Enumeration DateApril 5, 2021
Last NPPES UpdateOctober 7, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1013596212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · 61315505
Definition
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.
110 W CRAWFORD ST STE J, Deer Park, WA 99006
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Other Names 1

Professional Name (2)Jay E Mitchell

Secondary Practice Locations 2

Location 1301 E Clay Ave Ste 201Chewelah, WA 99109-8936 · Phone (509) 684-4597
Location 2165 E Hawthorne AveColville, WA 99114-2629 · Phone (509) 684-4597

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jay E Mitchell Ma, Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jay Mitchell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

49 Degrees Counseling Inc
Same address
Marriage & Family Therapist
110 W CRAWFORD ST STE J
Deer Park, WA 99006
  • Reassigned Medicare billing, Washington enrollment
NPI 1780471557 (509) 818-6844

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI ANNE OBBIE MA LMHC
Counselor (Mental Health)
110 W CRAWFORD ST STE J
DEER PARK, WA 99006
Spokane County (509) 505-0655
49 DEGREES COUNSELING INC
Marriage & Family Therapist
110 W CRAWFORD ST STE J
DEER PARK, WA 99006
Spokane County (509) 818-6844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Mitchell's NPI number?

The NPI number for Jay Mitchell is 1013596212. It was assigned to this individual provider in the NPPES registry on April 5, 2021. The provider is also known as Jay E Mitchell.

Where is Jay Mitchell located?

Jay Mitchell practices at 110 W Crawford St Ste J, Deer Park, WA 99006. The listed phone number is (509) 818-6844.

What is Jay Mitchell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jay Mitchell enrolled in Medicare?

Yes. Jay Mitchell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jay Mitchell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Mitchell reassigns Medicare benefits to 49 Degrees Counseling Inc (Deer Park, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Mitchell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Mitchell accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jay Mitchell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jay Mitchell was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.