JENNIFER CHAIN PH.D.
NPI 1225553159
Psychologist in Seattle, WA

Active since August 11, 2017Opted out of Medicare · through Oct 17, 2027
5306 BALLARD AVE NW STE 212, SEATTLE, WA 98107(206) 403-1148(206) 800-1091 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2022, Aug 17, 2018, Aug 11, 2017 (3 updates tracked since 2017).

About Jennifer Chain Ph.d. NPPES

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

JENNIFER CHAIN PH.D. (NPI 1225553159) is an individual psychologist in Seattle, Washington, licensed in Washington (PY60750684) and active in the NPI registry since August 2017. She has opted out of Medicare through October 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225553159
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER CHAINCredential: PH.D.
Location Address5306 BALLARD AVE NW STE 212Seattle, WA 98107
Mailing Address5306 Ballard Ave Nw Ste 212Seattle, WA 98107-4366 · (206) 403-1148
Fax(206) 800-1091
Sole ProprietorNo
Enumeration DateAugust 11, 2017
Last NPPES UpdateMay 6, 20223 updates tracked since enumeration
NPPES CertifiedMay 6, 2022
NPI 1225553159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60750684
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5306 BALLARD AVE NW STE 212, Seattle, WA 98107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jennifer Chain Ph.d. 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 October 17, 2017 through October 17, 2027.

Opt-Out Effective DateOctober 17, 2017
Opt-Out In Effect ThroughOctober 17, 2027Opt-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.

Other Providers at the Same Location NPPES 4

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

Counselor
5306 BALLARD AVE NW STE 212
SEATTLE, WA 98107
Counselor (Mental Health)
5306 BALLARD AVE NW STE 212
SEATTLE, WA 98107
Counselor (Mental Health)
5306 BALLARD AVE NW STE 212
SEATTLE, WA 98107
Clinic/Center (Mental Health (Including Community Mental Health Center))
5306 BALLARD AVE NW STE 212
SEATTLE, WA 98107

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 Chain's NPI number?

The NPI number for Jennifer Chain is 1225553159. It was assigned to this individual provider in the NPPES registry on August 11, 2017.

Where is Jennifer Chain located?

Jennifer Chain practices at 5306 Ballard Ave NW Ste 212, Seattle, WA 98107. The listed phone number is (206) 403-1148.

What is Jennifer Chain's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Chain enrolled in Medicare?

No. Jennifer Chain has opted out of Medicare through October 17, 2027. 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 Chain was last updated on May 6, 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.