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JENNIFER M WAKEMAN NCC, LMHC, SUDP
NPI 1629130299
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since December 13, 2006PECOS Enrolled
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(360) 896-4460(360) 896-4478 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer M Wakeman Ncc, Lmhc, Sudp NPPES

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

JENNIFER M WAKEMAN NCC, LMHC, SUDP (NPI 1629130299) is an individual addiction (substance use disorder) provider in Vancouver, Washington, licensed in Washington (CP00006159) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1629130299
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJENNIFER M WAKEMANCredential: NCC, LMHC, SUDP
Location Address12607 SE MILL PLAIN BLVDVancouver, WA 98684
Mailing Address12607 Se Mill Plain BlvdVancouver, WA 98684-6055 · (360) 896-4460 · Fax (360) 896-4478
Phone(360) 896-4460
Fax(360) 896-4478
Sole ProprietorNo
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1629130299 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 · CP00006159
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH00009179 (WA)
12607 SE MILL PLAIN BLVD, Vancouver, WA 98684
Open in Google Maps ↗

Secondary Practice Location 1

Location 16926 NE Fourth Plain BlvdVancouver, WA 98661 · Phone (360) 993-3000 · Fax (360) 993-3047

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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)

Jennifer M Wakeman Ncc, Lmhc, Sudp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MISS MELISSA DAWN HILL
Counselor (Addiction (Substance Use Disorder))
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (800) 813-2000
ABERA GELETO ABU PHARM D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 449-1600
IMOGEN KANE
Student in an Organized Health Care Education/Training Program
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 418-6001
DR. MARVIN ARNOLD HELDE O.D.
Optometrist
12607 SE MILL PLAIN BLVD, KAISER PERMANENTE CASCADE PARK MEDICAL FACILITY
VANCOUVER, WA 98684
Clark County (360) 896-4456
TIMOTHY W WEST MA, LPC, CDP, CADC 3
Counselor (Mental Health)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6275
BRODY TUCKER LCSW
Social Worker (Clinical)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 558-2456
DR. MICHELE LYNN SEQUEIRA MD
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (360) 891-6208
CATHERINE MYRA STROUSE M.D.
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Clark County (866) 420-2244

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 Jennifer Wakeman's NPI number?

The NPI number for Jennifer Wakeman is 1629130299. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Jennifer Wakeman located?

Jennifer Wakeman practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (360) 896-4460.

What is Jennifer Wakeman's specialty?

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

Is Jennifer Wakeman enrolled in Medicare?

Yes. Jennifer Wakeman is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Wakeman accept?

Health plans from Kaiser Permanente list Jennifer Wakeman 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 Jennifer Wakeman was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.