MS. JACKIE ELAINE WASHBISH SUDP
NPI 1376986174
Counselor - Addiction (Substance Use Disorder) in Mount Vernon, WA

Active since April 10, 2013
904 S 3RD ST, MOUNT VERNON, WA 98273(360) 856-6300(564) 209-7048 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2022, Feb 10, 2020 (2 updates tracked since 2020).

About Ms. Jackie Elaine Washbish Sudp NPPES

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

MS. JACKIE ELAINE WASHBISH SUDP (NPI 1376986174) is an individual addiction (substance use disorder) provider in Mount Vernon, Washington, licensed in Washington (CP60708363) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1376986174
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JACKIE ELAINE WASHBISHCredential: SUDP
Location Address904 S 3RD STMount Vernon, WA 98273-4324
Mailing Address904 S 3rd StMount Vernon, WA 98273-4324 · (360) 856-6300 · Fax (504) 209-7048
Fax(564) 209-7048
Sole ProprietorNo
Enumeration DateApril 10, 2013
Last NPPES UpdateFebruary 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
NPI 1376986174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP60708363
Also ListedPeer SpecialistTaxonomy 175T00000X
904 S 3RD ST, Mount Vernon, WA 98273

Other Names 1

Former Name (1)Ms. Jackie Elaine Rasmussen

Other Identifiers 1

Medicaid2265964WA

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 Jackie Washbish's NPI number?

The NPI number for Jackie Washbish is 1376986174. It was assigned to this individual provider in the NPPES registry on April 10, 2013. The provider is also known as Ms. Jackie Elaine Rasmussen.

Where is Jackie Washbish located?

Jackie Washbish practices at 904 S 3rd St, Mount Vernon, WA 98273. The listed phone number is (360) 856-6300.

What is Jackie Washbish's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jackie Washbish was last updated on February 20, 2024. 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.