JESSYCA VENCILL-OPP MA, MHP, LMHC, SUDP
NPI 1902272990
Counselor - Mental Health in Olympia, WA

Active since August 13, 2015Opted out of Medicare · through Apr 10, 2028
4514 TOUTLE CT SE, OLYMPIA, WA 98501(360) 584-4106 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2021, Nov 12, 2021, Dec 20, 2019 and 1 more (4 updates tracked since 2019).

About Jessyca Vencill-opp Ma, Mhp, Lmhc, Sudp NPPES

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

JESSYCA VENCILL-OPP MA, MHP, LMHC, SUDP (NPI 1902272990) is an individual mental health provider in Olympia, Washington, licensed in Washington (MC6081310) and active in the NPI registry since August 2015. She has opted out of Medicare through April 10, 2028.

NPPES Registry Identity

NPI1902272990
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSYCA VENCILL-OPPCredential: MA, MHP, LMHC, SUDP
Location Address4514 TOUTLE CT SEOlympia, WA 98501-9573
Mailing Address4514 Toutle Ct SeOlympia, WA 98501-9573 · (360) 584-4106
Sole ProprietorNo
Enumeration DateAugust 13, 2015
Last NPPES UpdateDecember 31, 20214 updates tracked since enumeration
NPPES CertifiedDecember 31, 2021
NPI 1902272990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · MC6081310
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CP60943211 (WA)
4514 TOUTLE CT SE, Olympia, WA 98501

Other Names 1

Former Name (1)Jessyca Nechelle Opp-sobania Ma, Mhp, Sudp, Lmhc

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

Jessyca Vencill-opp Ma, Mhp, Lmhc, Sudp 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 April 10, 2024 through April 10, 2028.

Opt-Out Effective DateApril 10, 2024
Opt-Out In Effect ThroughApril 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jessyca Vencill-opp's NPI number?

The NPI number for Jessyca Vencill-opp is 1902272990. It was assigned to this individual provider in the NPPES registry on August 13, 2015. The provider is also known as Jessyca Nechelle Opp-Sobania Ma, Mhp, Sudp, Lmhc.

Where is Jessyca Vencill-opp located?

Jessyca Vencill-opp practices at 4514 Toutle Ct SE, Olympia, WA 98501. The listed phone number is (360) 584-4106.

What is Jessyca Vencill-opp's specialty?

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

Is Jessyca Vencill-opp enrolled in Medicare?

No. Jessyca Vencill-opp has opted out of Medicare through April 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessyca Vencill-opp accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jessyca Vencill-opp 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 Jessyca Vencill-opp was last updated on December 31, 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.