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JACLYN WATSON
NPI 1245759109
Counselor - Mental Health in Puyallup, WA

Active since September 12, 2017Opted out of Medicare · through Jan 9, 2027
417 E PIONEER STE B, PUYALLUP, WA 98372(253) 987-6425 Get Directions Write a Review

NPPES record last updated: September 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jaclyn Watson NPPES

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

JACLYN WATSON (NPI 1245759109) is an individual mental health provider in Puyallup, Washington, licensed in Washington (MC60405100) and active in the NPI registry since September 2017. She has opted out of Medicare through January 9, 2027.

NPPES Registry Identity

NPI1245759109
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACLYN WATSON
Location Address417 E PIONEER STE BPuyallup, WA 98372-3267
Mailing Address1618 Amber BlvdPuyallup, WA 98372-5230 · (541) 206-7859
Phone(253) 987-6425
Sole ProprietorYes
Enumeration DateSeptember 12, 2017
✔ NPI 1245759109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · MC60405100
417 E PIONEER STE B, Puyallup, WA 98372
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jaclyn Watson 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 9, 2025 through January 9, 2027.

Opt-Out Effective DateJanuary 9, 2025
Opt-Out In Effect ThroughJanuary 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

KZTA
Student in an Organized Health Care Education/Training Program
417 E PIONEER STE B
PUYALLUP, WA 98372
Pierce County (253) 285-8673
MEGAN BRIANA MOELLER LMHCA
Counselor (Mental Health)
417 E PIONEER STE B
PUYALLUP, WA 98372
Pierce County (253) 880-4871
JANELLE MAE COTOGNA LMHCA
Counselor (Mental Health)
417 E PIONEER STE B
PUYALLUP, WA 98372
Pierce County (253) 285-8673
BELLA CROUCHET
Student in an Organized Health Care Education/Training Program
417 E PIONEER STE B
PUYALLUP, WA 98372
Pierce County (425) 298-3128
CARY INGRAM
Counselor (Mental Health)
417 E PIONEER STE B
PUYALLUP, WA 98372
Pierce County (206) 457-3162
SALLY DENISE CHRISTENSEN MED
Student in an Organized Health Care Education/Training Program
417 E PIONEER STE B
PUYALLUP, WA 98372
Pierce County (425) 298-3128
REBEKA CARR
Counselor (Mental Health)
417 E PIONEER STE B
PUYALLUP, WA 98372
Pierce County (253) 693-0064
ASHLEE ROSE OWENS
Student in an Organized Health Care Education/Training Program
417 E PIONEER STE B
PUYALLUP, WA 98372
Pierce County (425) 298-3128

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 Jaclyn Watson's NPI number?

The NPI number for Jaclyn Watson is 1245759109. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Jaclyn Watson located?

Jaclyn Watson practices at 417 E Pioneer Ste B, Puyallup, WA 98372. The listed phone number is (253) 987-6425.

What is Jaclyn Watson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jaclyn Watson enrolled in Medicare?

No. Jaclyn Watson has opted out of Medicare through January 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jaclyn Watson was last updated on September 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.