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

Active since May 07, 2015Opted out of Medicare · through Aug 12, 2026
2743 CALIFORNIA AVE SW, SUITE 301, SEATTLE, WA 98116(206) 383-5309 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2017, Jan 3, 2017 (2 updates tracked since 2017).

About Ms. Jennifer Erin Wilson M.c., C.p. NPPES

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

MS. JENNIFER ERIN WILSON M.C., C.P. (NPI 1073991394) is an individual mental health provider in Seattle, Washington, licensed in Washington (MC 60547904) and active in the NPI registry since May 2015. She has opted out of Medicare through August 12, 2026.

NPPES Registry Identity

NPI1073991394
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JENNIFER ERIN WILSONCredential: M.C., C.P.
Location Address2743 CALIFORNIA AVE SW, SUITE 301Seattle, WA 98116-2495
Mailing Address1950 Alaskan Way, #422Seattle, WA 98101-1075 · (206) 383-5309 · Fax (206) 302-2210
Sole ProprietorYes
Enumeration DateMay 7, 2015
Last NPPES UpdateApril 25, 20172 updates tracked since enumeration
NPI 1073991394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · MC 60547904
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60627320 (WA)
2743 CALIFORNIA AVE SW, Seattle, WA 98116

Other Names 1

Former Name (1)Ms. Jennifer Erin Wilson Ma, Lmhca, Cdp

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. Jennifer Erin Wilson M.c., C.p. 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 August 12, 2024 through August 12, 2026.

Opt-Out Effective DateAugust 12, 2024
Opt-Out In Effect ThroughAugust 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

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 NPPES & CMS

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

What is Jennifer Wilson's NPI number?

The NPI number for Jennifer Wilson is 1073991394. It was assigned to this individual provider in the NPPES registry on May 7, 2015. The provider is also known as Ms. Jennifer Erin Wilson Ma, Lmhca, Cdp.

Where is Jennifer Wilson located?

Jennifer Wilson practices at 2743 California Ave SW Suite 301, Seattle, WA 98116. The listed phone number is (206) 383-5309.

What is Jennifer Wilson's specialty?

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

Is Jennifer Wilson enrolled in Medicare?

No. Jennifer Wilson has opted out of Medicare through August 12, 2026. 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 Jennifer Wilson was last updated on April 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.