| Jensa Ferguson, Lmhc, Inc. | |
|
5470 Shilshole Ave Nw Ste 510 Seattle WA 98107-4040 | |
| (206) 619-7628 | |
| Not Available |
| Full Name | Jensa Ferguson, Lmhc, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5470 Shilshole Ave Nw Ste 510, Seattle, Washington |
| Authorized Official Name and Position | Jenifer L Ferguson (OWNER, PRESIDENT) |
| Authorized Official Contact | 2066197628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jensa Ferguson, Lmhc, Inc. 23830 78th Ave W Edmonds WA 98026-8821 Ph: (206) 473-7745 | Jensa Ferguson, Lmhc, Inc. 5470 Shilshole Ave Nw Ste 510 Seattle WA 98107-4040 Ph: (206) 619-7628 |
| NPI Number | 1427701549 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 01/29/2022 |
| Certification Date | 01/29/2022 |
| Medicare PECOS PAC ID | 6608316245 |
|---|---|
| Medicare Enrollment ID | O20240910000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427701549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jenifer Lehne Ferguson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295965747 PECOS PAC ID: 7416497052 Enrollment ID: I20240910000947 |
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