MS. JENNIFER ROSE TININENKO PHD
NPI 1104994888
Psychologist - Clinical in Seattle, WA

Q: What is Jennifer Tininenko's NPI number?

The NPI number for Jennifer Tininenko is 1104994888. It was assigned to this individual provider in the NPPES registry on December 1, 2006. The provider is also known as Jennifer Rose Tininenko Rarity Phd.

Q: What is Jennifer Tininenko's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Jennifer Tininenko enrolled in Medicare?

No. Jennifer Tininenko has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since December 01, 2006Opted out of Medicare · through Jan 1, 2028

1200 5TH AVE, SUITE 800, SEATTLE, WA 98101(206) 374-0109(206) 374-0108 Get Directions Write a Review

NPPES record last updated: July 1, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Jennifer Rose Tininenko Phd NPPES

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

MS. JENNIFER ROSE TININENKO PHD (NPI 1104994888) is an individual clinical provider in Seattle, Washington, licensed in Washington (PY60129683) and active in the NPI registry since December 2006. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104994888

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMS. JENNIFER ROSE TININENKOCredential: PHD

Location Address1200 5TH AVE, SUITE 800Seattle, WA 98101-3132

Mailing Address1200 5th Ave, Suite 800Seattle, WA 98101-3132 · (206) 374-0109 · Fax (206) 374-0108

Phone(206) 374-0109

Fax(206) 374-0108

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 1, 2010

✔ NPI 1104994888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · PY60129683

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License PY60129683 (WA)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PY60129683 (WA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PY60129683 (WA)

1200 5TH AVE, Seattle, WA 98101

Open in Google Maps ↗

Other Names 1

Other Name (5)Jennifer Rose Tininenko Rarity Phd

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 Rose Tininenko Phd 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 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$189.37 typical visit price

range $63.67 – $189.37

Typical copayment $47.34 (range $15.91 – $47.34)

Most-billed visit code 99205

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

MRS. JESSICA LYNN CHIU PSY.D.

Psychologist (Clinical)

1200 5TH AVE, SUITE 800
SEATTLE, WA 98101

King County (206) 374-0109

JORDAN ALIX LYON PH.D.

Psychologist (Cognitive & Behavioral)

1200 5TH AVE, SUITE 800
SEATTLE, WA 98101

King County (206) 374-0109

DR. PETER M DOYLE PH.D.

Psychologist (Clinical)

1200 5TH AVE, SUITE 800
SEATTLE, WA 98101

King County (206) 374-0109

MR. DANIEL O'ROURKE PH.D

Psychologist

1200 5TH AVE, #800
SEATTLE, WA 98101

King County (206) 374-0109

THU-THAO BUI PH.D.

Psychologist (Clinical)

1200 5TH AVE, SUITE 800
SEATTLE, WA 98101

King County (206) 374-0109

DR. DAVID LISCHNER M.D.

Psychiatry & Neurology (Psychiatry)

1200 5TH AVE, SUITE 800
SEATTLE, WA 98101

King County (206) 374-0109

MARK R MCCLUNG MD PC

Clinic/Center (Mental Health (Including Community Mental Health Center))

1200 5TH AVE, SUITE 2010
SEATTLE, WA 98101

King County (206) 728-5878

DR. TINA LEE M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1200 5TH AVE, SUITE 800
SEATTLE, WA 98101

King County (206) 374-0109

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 Tininenko's NPI number?

The NPI number for Jennifer Tininenko is 1104994888. It was assigned to this individual provider in the NPPES registry on December 1, 2006. The provider is also known as Jennifer Rose Tininenko Rarity Phd.

Where is Jennifer Tininenko located?

Jennifer Tininenko practices at 1200 5th Ave Suite 800, Seattle, WA 98101. The listed phone number is (206) 374-0109.

What is Jennifer Tininenko's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Tininenko enrolled in Medicare?

No. Jennifer Tininenko has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Tininenko was last updated on July 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.