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DARREL W JERNIGAN CG 61020545
NPI 1184259764
Peer Specialist in Seattle, WA

Active since March 04, 2020
1216 PINE ST STE 300, SEATTLE, WA 98101(206) 323-1768(206) 323-2184 Get Directions Write a Review

NPPES record last updated: March 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darrel W Jernigan Cg 61020545 NPPES

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

DARREL W JERNIGAN CG 61020545 (NPI 1184259764) is an individual peer specialist in Seattle, Washington, licensed in Washington (CG61020545) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1184259764
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameDARREL W JERNIGANCredential: CG 61020545
Location Address1216 PINE ST STE 300Seattle, WA 98101-1959
Mailing Address1216 Pine St Ste 300Seattle, WA 98101-1959 · (206) 323-1768 · Fax (206) 323-2184
Phone(206) 323-1768
Fax(206) 323-2184
Sole ProprietorNo
Enumeration DateMarch 4, 2020
NPPES CertifiedMarch 4, 2020
✔ NPI 1184259764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WA · CG61020545
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1216 PINE ST STE 300, Seattle, WA 98101
Open in Google Maps ↗

Other Identifiers 1

Other23-7258439WA · Na

Other Providers at the Same Location NPPES 18

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

MS. SHELBY ANN KANALY LMHC, CDPT
Counselor (Mental Health)
1216 PINE ST STE 300
SEATTLE, WA 98101
King County (206) 323-1768
BETHANY COLE
Counselor (Mental Health)
1216 PINE ST STE 300
SEATTLE, WA 98101
King County (206) 323-1768
MACKENZIE SUE PEYTON MSW
Social Worker
1216 PINE ST STE 300
SEATTLE, WA 98101
King County (176) 820-6323
MS. CHARITY LAUGHLIN BS, MA CANDIDA
Counselor (Mental Health)
1216 PINE ST STE 300
SEATTLE, WA 98101
King County (206) 323-1768
DR. JULIE ANNE NUGENT-CARNEY PMHNP ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1216 PINE ST STE 300
SEATTLE, WA 98101
King County (206) 323-1768
AHARONA AMENT MA, LMHCA
Counselor (Mental Health)
1216 PINE ST STE 300
SEATTLE, WA 98101
King County (206) 323-1768
NICOLE ELIZABETH WILSON MA
Counselor (Mental Health)
1216 PINE ST STE 300
SEATTLE, WA 98101
King County (206) 323-1768
MS. ALEXANDRA LLEWELLYN WOOLLACOTT BA/BSC, MA
Counselor (Mental Health)
1216 PINE ST STE 300
SEATTLE, WA 98101
King County (206) 355-9055

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 Darrel Jernigan's NPI number?

The NPI number for Darrel Jernigan is 1184259764. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Darrel Jernigan located?

Darrel Jernigan practices at 1216 Pine St Ste 300, Seattle, WA 98101. The listed phone number is (206) 323-1768.

What is Darrel Jernigan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Darrel Jernigan was last updated on March 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.