JENNIFER PETTY
NPI 1033563028
Counselor - Mental Health in Seattle, WA
About Jennifer Petty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER PETTY (NPI 1033563028) is an individual mental health provider in Seattle, Washington, licensed in Washington (MC60594245) and active in the NPI registry since April 2016. She has opted out of Medicare through January 3, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jennifer Petty 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 January 3, 2024 through January 3, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98109
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 Jennifer Petty's NPI number?
The NPI number for Jennifer Petty is 1033563028. It was assigned to this individual provider in the NPPES registry on April 16, 2016.
Where is Jennifer Petty located?
Jennifer Petty practices at 1817 Queen Anne Ave N Ste 309, Seattle, WA 98109. The listed phone number is (206) 319-5886.
What is Jennifer Petty's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jennifer Petty enrolled in Medicare?
No. Jennifer Petty has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Jennifer Petty accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Jennifer Petty 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 Jennifer Petty was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jennifer Petty · NPI 1033563028
Mental Health provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since April 16, 2016.
## Identity
- **NPI:** 1033563028 (Entity type: Individual)
- **Enumerated:** April 16, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MC60594245 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1817 QUEEN ANNE AVE N STE 309, Seattle, WA 98109-2876
- **Phone:** (206) 319-5886
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 3, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1033563028) · Data from the CMS NPPES public registry.