JENNIFER MARIE USSELMAN
NPI 1972223303
Counselor - Mental Health in Maple Valley, WA

Active since August 29, 2022Opted out of Medicare · through Jan 17, 2027
22443 SE 240TH ST STE 203, MAPLE VALLEY, WA 98038(425) 295-7697 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Marie Usselman NPPES

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

JENNIFER MARIE USSELMAN (NPI 1972223303) is an individual mental health provider in Maple Valley, Washington and active in the NPI registry since August 2022. She has opted out of Medicare through January 17, 2027.

NPPES Registry Identity

NPI1972223303
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER MARIE USSELMAN
Location Address22443 SE 240TH ST STE 203Maple Valley, WA 98038-5879
Mailing Address17634 Se 260th PlCovington, WA 98042-8338
Sole ProprietorNo
Enumeration DateAugust 29, 2022
NPPES CertifiedAugust 27, 2022
NPI 1972223303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
22443 SE 240TH ST STE 203, Maple Valley, WA 98038

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 Marie Usselman 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 17, 2025 through January 17, 2027.

Opt-Out Effective DateJanuary 17, 2025
Opt-Out In Effect ThroughJanuary 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
22443 SE 240TH ST STE 203
MAPLE VALLEY, WA 98038
Family Medicine
22443 SE 240TH ST STE 203
MAPLE VALLEY, WA 98038

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 Usselman's NPI number?

The NPI number for Jennifer Usselman is 1972223303. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Jennifer Usselman located?

Jennifer Usselman practices at 22443 SE 240th St Ste 203, Maple Valley, WA 98038. The listed phone number is (425) 295-7697.

What is Jennifer Usselman's specialty?

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

Is Jennifer Usselman enrolled in Medicare?

No. Jennifer Usselman has opted out of Medicare through January 17, 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 Usselman was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.