JESSICA E. MASTRANGELO PHD, LMHC
NPI 1013634161
Counselor - Mental Health in Seattle, WA

Active since October 19, 2022Opted out of Medicare · through May 12, 2027
2480 BIRCH AVE N APT 3003, SEATTLE, WA 98109(617) 634-9971 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica E. Mastrangelo Phd, Lmhc NPPES

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

JESSICA E. MASTRANGELO PHD, LMHC (NPI 1013634161) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH61171140) and active in the NPI registry since October 2022. She has opted out of Medicare through May 12, 2027.

NPPES Registry Identity

NPI1013634161
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA E. MASTRANGELOCredential: PHD, LMHC
Location Address2480 BIRCH AVE N APT 3003Seattle, WA 98109-2175
Mailing Address2480 Birch Ave N Apt 3003Seattle, WA 98109-2175 · (617) 634-9971
Sole ProprietorYes
Enumeration DateOctober 19, 2022
NPPES CertifiedOctober 19, 2022
NPI 1013634161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · LH61171140
2480 BIRCH AVE N APT 3003, Seattle, WA 98109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jessica E. Mastrangelo Phd, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 12, 2025 through May 12, 2027.

Opt-Out Effective DateMay 12, 2025
Opt-Out In Effect ThroughMay 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Jessica Mastrangelo's NPI number?

The NPI number for Jessica Mastrangelo is 1013634161. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is Jessica Mastrangelo located?

Jessica Mastrangelo practices at 2480 Birch Ave N Apt 3003, Seattle, WA 98109. The listed phone number is (617) 634-9971.

What is Jessica Mastrangelo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Mastrangelo enrolled in Medicare?

No. Jessica Mastrangelo has opted out of Medicare through May 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Mastrangelo was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.