JENNIFER JACYSZYN MA
NPI 1831565480
Counselor - Mental Health in Seattle, WA

Active since August 18, 2015Opted out of Medicare · through Jan 1, 2028
2208 NW MARKET ST, SUITE 407A, SEATTLE, WA 98107(206) 607-9141 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2015, Nov 11, 2015 (2 updates tracked since 2015).

About Jennifer Jacyszyn Ma NPPES

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

JENNIFER JACYSZYN MA (NPI 1831565480) is an individual mental health provider in Seattle, Washington, licensed in Washington (MC60505089) and active in the NPI registry since August 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1831565480
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER JACYSZYNCredential: MA
Location Address2208 NW MARKET ST, SUITE 407ASeattle, WA 98107-4030
Mailing Address2208 Nw Market St, Suite 407aSeattle, WA 98107-4030 · (206) 607-9141
Sole ProprietorNo
Enumeration DateAugust 18, 2015
Last NPPES UpdateDecember 21, 20152 updates tracked since enumeration
NPI 1831565480 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 · MC60505089
2208 NW MARKET ST, Seattle, WA 98107

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

Jennifer Jacyszyn Ma 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 20

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

Acupuncturist
2208 NW MARKET ST, STE. 408
SEATTLE, WA 98107
Psychologist (Clinical)
2208 NW MARKET ST, SUITE 509
SEATTLE, WA 98107
Massage Therapist
2208 NW MARKET ST, 430B
SEATTLE, WA 98107
Counselor (Mental Health)
2208 NW MARKET ST, SUITE 315A
SEATTLE, WA 98107
Massage Therapist
2208 NW MARKET ST, # 408
SEATTLE, WA 98107
Social Worker (Clinical)
2208 NW MARKET ST, SUITE 311
SEATTLE, WA 98107
Family Medicine
2208 NW MARKET ST, SUITE 410
SEATTLE, WA 98107
Counselor (Mental Health)
2208 NW MARKET ST, SUITE 412
SEATTLE, WA 98107

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 Jacyszyn's NPI number?

The NPI number for Jennifer Jacyszyn is 1831565480. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Jennifer Jacyszyn located?

Jennifer Jacyszyn practices at 2208 NW Market St Suite 407A, Seattle, WA 98107. The listed phone number is (206) 607-9141.

What is Jennifer Jacyszyn's specialty?

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

Is Jennifer Jacyszyn enrolled in Medicare?

No. Jennifer Jacyszyn 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 Jennifer Jacyszyn accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jennifer Jacyszyn 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 Jacyszyn was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.