Look up the most recent NPI and PECOS records

Jessica Psenski

Counselor

Behavioral Health & Social Service Providers

9757 NE Juanita Dr, Kirkland, WA 98034-4299

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica Psenski does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1952867616
Provider Type
Individual
Full Name
Psenski, Jessica
Credential
LMHCA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/18/2019
Last Updated
6/11/2019

Contact Information

Practice Location

9757 NE Juanita Dr, Kirkland, WA 98034-4299

(425) 638-2127

Unlisted Fax

Mailing Location

10517 NE 187th St, Bothell, WA 98011-3067

(425) 638-2127

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MC60891594 Washington

Provider Identifiers

ID	Description	Issuer
ID 604-285-881	Description Other	Issuer SECRETARY OF STATE Washington

Jessica Psenski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Koss, Heidi Beth

Rainwater, Jim Ray

Crickmore, Abigail Leigh

Ricker, Sally Joanne

Harris-Johnston, Leslie R

Jung, Karen V

Lake, Jennifer

Garvey, Leeanne

Neef, Amanda

Chen, Crystal