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MARY JANE POULSON MA, NCC, LMHC, LPC
NPI 1710061528
Counselor - Mental Health in Richland, WA

Active since October 25, 2006Opted out of Medicare · through Jan 1, 2028
719 JADWIN AVE, RICHLAND, WA 99352(509) 430-8626(509) 943-2129 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 14, 2022, May 17, 2017 (3 updates tracked since 2017).

About Mary Jane Poulson Ma, Ncc, Lmhc, Lpc NPPES

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

MARY JANE POULSON MA, NCC, LMHC, LPC (NPI 1710061528) is an individual mental health provider in Richland, Washington, licensed in Washington (LH00005937) and active in the NPI registry since October 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1710061528
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY JANE POULSONCredential: MA, NCC, LMHC, LPC
Location Address719 JADWIN AVERichland, WA 99352-4217
Mailing Address719 Jadwin AveRichland, WA 99352-4217 · (509) 430-8626 · Fax (509) 943-2129
Phone(509) 430-8626
Fax(509) 943-2129
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2022
✔ NPI 1710061528 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 · LH00005937
719 JADWIN AVE, Richland, WA 99352
Open in Google Maps ↗

Other Names 1

Professional Name (2)Jane Poulson Ma, Ncc, Lmhc, Lpc

Other Identifiers 1

Medicaid2075572WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Regence BlueCross BlueShield of Oregon.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

Mary Jane Poulson Ma, Ncc, Lmhc, Lpc 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
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW G REYES
Clinical Exercise Physiologist
719 JADWIN AVE
RICHLAND, WA 99352
Benton County (424) 599-5292
MS. DEBORAH A TITUS ARNP
Nurse Practitioner (Family)
719 JADWIN AVE
RICHLAND, WA 99352
Benton County (509) 946-4334
KENNETH B HATCHER IHTP/INLTP
Specialist
719 JADWIN AVE, STE 15
RICHLAND, WA 99352
Benton County (509) 943-2315
CECILIA COOPER PHD
Psychologist (Clinical)
719 JADWIN AVE
RICHLAND, WA 99352
Benton County (509) 943-8125
DEBORAH LEA RILEY L.M.P.
Massage Therapist
719 JADWIN AVE
RICHLAND, WA 99352
Benton County (541) 571-2903
MRS. DORIS ANN KELLY MS, RD, CD
Dietitian, Registered
719 JADWIN AVE, SUITE 7
RICHLAND, WA 99352
Benton County (509) 943-0414
POULSON COUNSELING PLLC
Counselor (Mental Health)
719 JADWIN AVE
RICHLAND, WA 99352
Benton County (509) 430-8626
JODI ELAINE WILSON MA
Counselor (Mental Health)
719 JADWIN AVE
RICHLAND, WA 99352
Benton County (509) 688-7967

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 Mary Poulson's NPI number?

The NPI number for Mary Poulson is 1710061528. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Jane Poulson Ma, Ncc, Lmhc, Lpc.

Where is Mary Poulson located?

Mary Poulson practices at 719 Jadwin Ave, Richland, WA 99352. The listed phone number is (509) 430-8626.

What is Mary Poulson's specialty?

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

Is Mary Poulson enrolled in Medicare?

No. Mary Poulson 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 Mary Poulson accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Mary Poulson 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 Mary Poulson was last updated on July 21, 2022. 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.