JILLIAN ROSE BATES MA, LMHC
NPI 1962980805
Counselor - Mental Health in Edmonds, WA

Active since August 02, 2018Opted out of Medicare · through Aug 1, 2027
17825 69TH AVE W, EDMONDS, WA 98026(208) 949-6008 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2025, Jan 24, 2022, Jul 1, 2021 and 1 more (4 updates tracked since 2018).

About Jillian Rose Bates Ma, Lmhc NPPES

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

JILLIAN ROSE BATES MA, LMHC (NPI 1962980805) is an individual mental health provider in Edmonds, Washington, licensed in Washington (MC60876027) and active in the NPI registry since August 2018. She has opted out of Medicare through August 1, 2027.

NPPES Registry Identity

NPI1962980805
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJILLIAN ROSE BATESCredential: MA, LMHC
Location Address17825 69TH AVE WEdmonds, WA 98026-5604
Mailing Address17825 69th Ave WEdmonds, WA 98026-5604 · (208) 949-6008
Sole ProprietorYes
Enumeration DateAugust 2, 2018
Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
NPI 1962980805 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 · MC60876027
17825 69TH AVE W, Edmonds, WA 98026

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jillian Rose Bates Ma, Lmhc 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 August 1, 2025 through August 1, 2027.

Opt-Out Effective DateAugust 1, 2025
Opt-Out In Effect ThroughAugust 1, 2027Opt-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 Jillian Bates's NPI number?

The NPI number for Jillian Bates is 1962980805. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Jillian Bates located?

Jillian Bates practices at 17825 69th Ave W, Edmonds, WA 98026. The listed phone number is (208) 949-6008.

What is Jillian Bates's specialty?

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

Is Jillian Bates enrolled in Medicare?

No. Jillian Bates has opted out of Medicare through August 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jillian Bates was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.