JEFFERSON COMMUNITY COUNSELING CENTER
NPI 1083701015
Community/Behavioral Health in Port Townsend, WA

Active since October 10, 2006
884 W PARK AVE, PORT TOWNSEND, WA 98368(360) 385-0321(360) 379-2547 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2022, Mar 11, 2020, Sep 17, 2019 (3 updates tracked since 2019).

About Jefferson Community Counseling Center NPPES

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

JEFFERSON COMMUNITY COUNSELING CENTER (NPI 1083701015) is a healthcare organization registered as a community/behavioral health in Port Townsend, Washington and active in the NPI registry since October 2006. The organization lists Tonya M Ferguson, Director Of Operations And Complian, as its authorized official.

NPPES Registry Identity

NPI1083701015
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJEFFERSON COMMUNITY COUNSELING CENTER
Location Address884 W PARK AVEPort Townsend, WA 98368-2273
Mailing AddressPo Box 565Port Townsend, WA 98368-0565 · (360) 385-0321 · Fax (360) 379-2547
Fax(360) 379-2547
Organization SubpartNo
Authorized OfficialTonya M FergusonDirector Of Operations And Complian · (360) 385-0321
Enumeration DateOctober 10, 2006
Last NPPES UpdateFebruary 7, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1083701015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
884 W PARK AVE, Port Townsend, WA 98368

Other Identifiers 1

Medicaid7031917WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson Community Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Jefferson Community Counseling Center, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Nurse Practitioner12
Mental Health Counselor5
Clinical Social Worker3
Clinical Psychologist1

Nearest to this location (20)

See all 21
Nurse Practitioner
NPI 1467148387
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOSSame address
Nurse Practitioner
NPI 1346814035
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1811161516
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1366163115
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538175211
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1942668793
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1356750525
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1265025621
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1083897037
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOSSame address
Clinical Social Worker
NPI 1649850389
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700349461
844 WEST PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1912557091
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1629550215
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts Medicare0.1 mi
Mental Health Counselor
NPI 1689234478
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1225582521
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1033602834
884 W PARK AVE
Port Townsend, WA 98368
(360) 385-0321
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1407361405
210 POLK ST STE 10
Port Townsend, WA 98368
(360) 928-6649
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1073906038
600 BROADWAY ST
Longview, WA 98632
(360) 414-2236
✔ PECOS136 mi
Nurse Practitioner
NPI 1780420034
100 N HOWARD ST # 6982
Spokane, WA 99201
(206) 590-5053
✔ PECOS252 mi
Nurse Practitioner
NPI 1306619051
281 LACLAIR ST
Coos Bay, OR 97420
(541) 266-6749
✔ PECOS✔ Accepts Medicare333 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jefferson Community Counseling Center's NPI number?

The NPI number for Jefferson Community Counseling Center is 1083701015. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Jefferson Community Counseling Center located?

Jefferson Community Counseling Center is located at 884 W Park Ave, Port Townsend, WA 98368. The listed phone number is (360) 385-0321.

What is Jefferson Community Counseling Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Jefferson Community Counseling Center enrolled in Medicare?

Yes. Jefferson Community Counseling Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson Community Counseling Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 4 Medicare specialties reassign their Medicare billing to Jefferson Community Counseling Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Mental Health Counselor (5) and Clinical Social Worker (3). Of these, 11 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jefferson Community Counseling Center accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Jefferson Community Counseling Center 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 Jefferson Community Counseling Center was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.