JARED SCOTT DETROLIO
NPI 1982170122
Counselor in Moses Lake, WA

Active since October 15, 2018
840 E PLUM ST, MOSES LAKE, WA 98837(509) 765-9239(509) 765-4124 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jared Scott Detrolio NPPES

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

JARED SCOTT DETROLIO (NPI 1982170122) is an individual counselor in Moses Lake, Washington, licensed in Washington (CG60867653) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1982170122
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJARED SCOTT DETROLIO
Location Address840 E PLUM STMoses Lake, WA 98837-1874
Mailing Address840 E Plum StMoses Lake, WA 98837-1874 · (509) 765-9239 · Fax (509) 765-4124
Fax(509) 765-4124
Sole ProprietorNo
Enumeration DateOctober 15, 2018
NPI 1982170122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · CG60867653
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
840 E PLUM ST, Moses Lake, WA 98837

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.

Counselor
840 E PLUM ST
MOSES LAKE, WA 98837
Counselor (Mental Health)
840 E PLUM ST
MOSES LAKE, WA 98837
Counselor (Mental Health)
840 E PLUM ST
MOSES LAKE, WA 98837
Counselor
840 E PLUM ST
MOSES LAKE, WA 98837
Counselor
840 E PLUM ST
MOSES LAKE, WA 98837
Counselor
840 E PLUM ST
MOSES LAKE, WA 98837
Counselor
840 E PLUM ST
MOSES LAKE, WA 98837
Counselor
840 E PLUM ST
MOSES LAKE, WA 98837

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 Jared Detrolio's NPI number?

The NPI number for Jared Detrolio is 1982170122. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Jared Detrolio located?

Jared Detrolio practices at 840 E Plum St, Moses Lake, WA 98837. The listed phone number is (509) 765-9239.

What is Jared Detrolio's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jared Detrolio was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.