JENNIFER ANDERSON MS
NPI 1962995407
Counselor - Mental Health in Seattle, WA

Active since June 09, 2018Opted out of Medicare · through Jan 24, 2027
2366 EASTLAKE AVE E STE 402, SEATTLE, WA 98102(206) 202-3133 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Anderson Ms NPPES

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

JENNIFER ANDERSON MS (NPI 1962995407) is an individual mental health provider in Seattle, Washington, licensed in Washington (175352) and active in the NPI registry since June 2018. She has opted out of Medicare through January 24, 2027.

NPPES Registry Identity

NPI1962995407
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER ANDERSONCredential: MS
Location Address2366 EASTLAKE AVE E STE 402Seattle, WA 98102-3394
Mailing Address2366 Eastlake Ave E Ste 402Seattle, WA 98102-3394 · (206) 202-3133
Sole ProprietorNo
Enumeration DateJune 9, 2018
Last NPPES UpdateDecember 14, 2021
NPPES CertifiedDecember 14, 2021
NPI 1962995407 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 · 175352
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 175352 (WA)
2366 EASTLAKE AVE E STE 402, Seattle, WA 98102

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 Anderson Ms 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 24, 2025 through January 24, 2027.

Opt-Out Effective DateJanuary 24, 2025
Opt-Out In Effect ThroughJanuary 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Marriage & Family Therapist
2366 EASTLAKE AVE E STE 402
SEATTLE, WA 98102
Community/Behavioral Health
2366 EASTLAKE AVE E STE 402
SEATTLE, WA 98102
Social Worker (Clinical)
2366 EASTLAKE AVE E STE 402
SEATTLE, WA 98102
Marriage & Family Therapist
2366 EASTLAKE AVE E STE 402
SEATTLE, WA 98102
Marriage & Family Therapist
2366 EASTLAKE AVE E STE 402
SEATTLE, WA 98102
Counselor (Mental Health)
2366 EASTLAKE AVE E STE 402
SEATTLE, WA 98102
Marriage & Family Therapist
2366 EASTLAKE AVE E STE 402
SEATTLE, WA 98102
Marriage & Family Therapist
2366 EASTLAKE AVE E STE 402
SEATTLE, WA 98102

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 Anderson's NPI number?

The NPI number for Jennifer Anderson is 1962995407. It was assigned to this individual provider in the NPPES registry on June 9, 2018.

Where is Jennifer Anderson located?

Jennifer Anderson practices at 2366 Eastlake Ave E Ste 402, Seattle, WA 98102. The listed phone number is (206) 202-3133.

What is Jennifer Anderson's specialty?

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

Is Jennifer Anderson enrolled in Medicare?

No. Jennifer Anderson has opted out of Medicare through January 24, 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 Jennifer Anderson was last updated on December 14, 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.