JESSICCA MENDOZA LMHC-A
NPI 1174495873
Counselor in Othello, WA

Active since September 22, 2025
1515 E COLUMBIA ST, OTHELLO, WA 99344(509) 488-5256(509) 488-9939 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessicca Mendoza Lmhc-a NPPES

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

JESSICCA MENDOZA LMHC-A (NPI 1174495873) is an individual counselor in Othello, Washington, licensed in Washington (MC70039785) and active in the NPI registry since September 2025. She maintains a secondary practice location in Connell.

NPPES Registry Identity

NPI1174495873
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICCA MENDOZACredential: LMHC-A
Location Address1515 E COLUMBIA STOthello, WA 99344-1846
Mailing Address1515 E Columbia StOthello, WA 99344-1846 · (509) 488-5256 · Fax (509) 488-9939
Fax(509) 488-9939
Sole ProprietorNo
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 22, 2025
NPI 1174495873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · MC70039785
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1515 E COLUMBIA ST, Othello, WA 99344

Secondary Practice Location 1

Location 11051 Columbia AveConnell, WA 99326-8702 · Phone (509) 488-5256 ext. 8512 · Fax (509) 488-9939

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Dentist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Dental Hygienist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Clinic/Center (Federally Qualified Health Center (FQHC))
1515 E COLUMBIA ST
OTHELLO, WA 99344
Dentist (General Practice)
1515 E COLUMBIA ST
OTHELLO, WA 99344
Dentist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Dental Hygienist
1515 E COLUMBIA ST
OTHELLO, WA 99344
Nurse Practitioner (Psychiatric/Mental Health)
1515 E COLUMBIA ST
OTHELLO, WA 99344

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 Jessicca Mendoza's NPI number?

The NPI number for Jessicca Mendoza is 1174495873. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Jessicca Mendoza located?

Jessicca Mendoza practices at 1515 E Columbia St, Othello, WA 99344. The listed phone number is (509) 488-5256.

What is Jessicca Mendoza's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jessicca Mendoza was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.