MS. JENNIFER ERIN WILSON M.C., C.P.
NPI 1073991394
Counselor - Mental Health in Seattle, WA

NPI Status: Active since May 07, 2015

Contact Information

2743 CALIFORNIA AVE SW
SUITE 301
SEATTLE, WA
ZIP 98116
Phone: (206) 383-5309

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About JENNIFER WILSON

This page provides the complete NPI Profile along with additional information for Jennifer Wilson, a provider established in Seattle, Washington with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1073991394 assigned on May 2015. The practitioner's primary taxonomy code is 101YM0800X with license number MC 60547904 (WA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1073991394
Provider Name
MS. JENNIFER ERIN WILSON M.C., C.P.
Other Name
MS. JENNIFER ERIN WILSON MA, LMHCA, CDP
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
2743 CALIFORNIA AVE SW SUITE 301 SEATTLE, WA 98116
Location Phone
(206) 383-5309
Mailing Address
1950 ALASKAN WAY #422 SEATTLE, WA 98101
Mailing Phone
(206) 383-5309
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
05-07-2015
Last Update Date
04-25-2017
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A mental health counselor like Jennifer Wilson provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jennifer Wilson opted out of Medicare effective on 08-12-2024 until 08-12-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
MC 60547904
License State
WA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

CP60627320 (WA)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-12-2024

  • Opt-Out End Date: 08-12-2026

  • Eligible to Order and Refer? No

Reviews for MS. JENNIFER ERIN WILSON M.C., C.P.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073991394, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 8 + 9 + 2 + 3 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1073991394.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Orthodontics and Dentofacial Orthopedics)
2743 CALIFORNIA AVE SW, SUITE 201
SEATTLE, WA 98116
Counselor (Mental Health)
2743 CALIFORNIA AVE SW, SUITE 301
SEATTLE, WA 98116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073991394, enumerated as an "individual" on May 07, 2015.

The provider is located at 2743 CALIFORNIA AVE SW SUITE 301 SEATTLE, WA 98116 and the phone number is (206) 383-5309.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.