MS. JACQUELYN CAROL GILROY MA, LMHC
NPI 1073667515
Counselor - Mental Health in Seattle, WA

Active since January 22, 2007Opted out of Medicare · through Mar 5, 2027
4425 FREMONT AVE N, SEATTLE, WA 98103(206) 795-9203 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jacquelyn Carol Gilroy Ma, Lmhc NPPES

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

MS. JACQUELYN CAROL GILROY MA, LMHC (NPI 1073667515) is an individual mental health provider in Seattle, Washington, licensed in Washington (LH00003803) and active in the NPI registry since January 2007. She has opted out of Medicare through March 5, 2027.

NPPES Registry Identity

NPI1073667515
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JACQUELYN CAROL GILROYCredential: MA, LMHC
Location Address4425 FREMONT AVE NSeattle, WA 98103-7225
Mailing Address4425 Fremont Ave NSeattle, WA 98103-7225 · (206) 795-9203
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1073667515 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 · LH00003803
4425 FREMONT AVE N, Seattle, WA 98103

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

Ms. Jacquelyn Carol Gilroy Ma, 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 March 5, 2025 through March 5, 2027.

Opt-Out Effective DateMarch 5, 2025
Opt-Out In Effect ThroughMarch 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

Specialist
4425 FREMONT AVE N
SEATTLE, WA 98103
Psychologist (Clinical)
4425 FREMONT AVE N
SEATTLE, WA 98103
Massage Therapist
4425 FREMONT AVE N
SEATTLE, WA 98103
Counselor (Mental Health)
4425 FREMONT AVE N
SEATTLE, WA 98103
Counselor (Mental Health)
4425 FREMONT AVE N
SEATTLE, WA 98103
Massage Therapist
4425 FREMONT AVE N
SEATTLE, WA 98103
Marriage & Family Therapist
4425 FREMONT AVE N
SEATTLE, WA 98103
Dietitian, Registered
4425 FREMONT AVE N
SEATTLE, WA 98103

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 Jacquelyn Gilroy's NPI number?

The NPI number for Jacquelyn Gilroy is 1073667515. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Jacquelyn Gilroy located?

Jacquelyn Gilroy practices at 4425 Fremont Ave N, Seattle, WA 98103. The listed phone number is (206) 795-9203.

What is Jacquelyn Gilroy's specialty?

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

Is Jacquelyn Gilroy enrolled in Medicare?

No. Jacquelyn Gilroy has opted out of Medicare through March 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacquelyn Gilroy accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jacquelyn Gilroy 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 Jacquelyn Gilroy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.