JACQUELINE ROSE NELSON MA, LMHC
NPI 1336630235
Counselor - Mental Health in Spokane, WA

Active since May 25, 2018Opted out of Medicare · through Jan 1, 2028
1717 W FRANCIS AVE STE 204, SPOKANE, WA 99205(509) 795-0988 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Aug 11, 2022, Apr 29, 2022 and 1 more (4 updates tracked since 2018).

About Jacqueline Rose Nelson Ma, Lmhc NPPES

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

JACQUELINE ROSE NELSON MA, LMHC (NPI 1336630235) is an individual mental health provider in Spokane, Washington, licensed in Washington (LH60945013) and active in the NPI registry since May 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1336630235
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE ROSE NELSONCredential: MA, LMHC
Location Address1717 W FRANCIS AVE STE 204Spokane, WA 99205-6858
Mailing Address1717 W Francis Ave Ste 204Spokane, WA 99205-6858 · (509) 795-0988
Sole ProprietorNo
Enumeration DateMay 25, 2018
Last NPPES UpdateAugust 21, 20234 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
NPI 1336630235 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 · LH60945013
1717 W FRANCIS AVE STE 204, Spokane, WA 99205

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jacqueline Rose Nelson Ma, Lmhc 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Clinic/Center (Adult Mental Health)
1717 W FRANCIS AVE STE 204
SPOKANE, WA 99205
Nurse Practitioner (Psychiatric/Mental Health)
1717 W FRANCIS AVE STE 204
SPOKANE, WA 99205
Clinic/Center (Adult Mental Health)
1717 W FRANCIS AVE STE 204
SPOKANE, WA 99205
Counselor (Mental Health)
1717 W FRANCIS AVE STE 204
SPOKANE, WA 99205

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 Jacqueline Nelson's NPI number?

The NPI number for Jacqueline Nelson is 1336630235. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Jacqueline Nelson located?

Jacqueline Nelson practices at 1717 W Francis Ave Ste 204, Spokane, WA 99205. The listed phone number is (509) 795-0988.

What is Jacqueline Nelson's specialty?

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

Is Jacqueline Nelson enrolled in Medicare?

No. Jacqueline Nelson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacqueline Nelson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jacqueline Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Nelson was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.