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MRS. JETTA BEACON
NPI 1518472091
Counselor in Lacey, WA

Active since December 06, 2017
1110 GOLF CLUB RD SE STE 101, LACEY, WA 98503(360) 359-6870 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2026, Dec 6, 2017 (2 updates tracked since 2017).

About Mrs. Jetta Beacon NPPES

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

MRS. JETTA BEACON (NPI 1518472091) is an individual counselor in Lacey, Washington and active in the NPI registry since December 2017. She maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1518472091
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. JETTA BEACON
Location Address1110 GOLF CLUB RD SE STE 101Lacey, WA 98503-2302
Mailing Address1110 Golf Club Rd Se Ste 101Lacey, WA 98503-2302 · (360) 359-6870
Phone(360) 359-6870
Sole ProprietorYes
Enumeration DateDecember 6, 2017
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1518472091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1110 GOLF CLUB RD SE STE 101, Lacey, WA 98503
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Secondary Practice Location 1

Location 13716 Pacific AveTacoma, WA 98418-7836 · Phone (285) 285-0821

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.

MR. TIMOTEO DARIO YEPES LICSW
Social Worker (Clinical)
1110 GOLF CLUB RD SE STE 101
LACEY, WA 98503
Thurston County (206) 679-0531
BECKY PEDERSEN COUNSELING
Counselor (Mental Health)
1110 GOLF CLUB RD SE STE 101
LACEY, WA 98503
Thurston County (360) 402-6306
BRIAN ROGERS MA, LMHC
Counselor (Mental Health)
1110 GOLF CLUB RD SE STE 101
LACEY, WA 98503
Thurston County (564) 201-8931
MRS. BECKY MARIE PEDERSEN LMHC
Counselor (Mental Health)
1110 GOLF CLUB RD SE STE 101
LACEY, WA 98503
Thurston County (360) 402-6306

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 Jetta Beacon's NPI number?

The NPI number for Jetta Beacon is 1518472091. It was assigned to this individual provider in the NPPES registry on December 6, 2017.

Where is Jetta Beacon located?

Jetta Beacon practices at 1110 Golf Club Rd SE Ste 101, Lacey, WA 98503. The listed phone number is (360) 359-6870.

What is Jetta Beacon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jetta Beacon was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.