MS. JENNIFER MIKI MAYEDA
NPI 1306196167
Counselor - Professional in Tukwila, WA

Q: What is Jennifer Mayeda's NPI number?

The NPI number for Jennifer Mayeda is 1306196167. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Q: What is Jennifer Mayeda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mayeda was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 19, 2012PECOS Enrolled

6400 SOUTHCENTER BLVD, SOUND MENTAL HEALTH, TUKWILA, WA 98188(206) 444-3679(206) 444-3610 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Jennifer Miki Mayeda NPPES

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

MS. JENNIFER MIKI MAYEDA (NPI 1306196167) is an individual professional provider in Tukwila, Washington, licensed in Oregon (C7183) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redmond, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1306196167

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. JENNIFER MIKI MAYEDA

Location Address6400 SOUTHCENTER BLVD, SOUND MENTAL HEALTHTukwila, WA 98188-2547

Mailing Address1600 East Olive Street, Sound Mental HealthSeattle, WA 98122 · (206) 302-2200 · Fax (206) 302-2210

Phone(206) 444-3679

Fax(206) 444-3610

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 19, 2012

Last NPPES UpdateAugust 21, 2025

NPPES CertifiedAugust 21, 2025

✔ NPI 1306196167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OR · C7183

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6400 SOUTHCENTER BLVD, Tukwila, WA 98188

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Secondary Practice Location 1

Location 17515 Falcon Crest Dr # 200Redmond, OR 97756-5014 · Phone (541) 904-5216

Other Identifiers 1

OtherLH60642377WA · Wa Doh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Miki Mayeda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557863107

PECOS Enrollment IDI20250904001338

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SIERRA WOLLEN

Counselor (Mental Health)