Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760333272 Individual Practitioner Female Practitioner

Amy Jack , CPS

Counselor • Auburn, WA

Professional Overview & Biography Verified Profile Summary

Amy Jack, CPS is a registered healthcare professional specializing in Counselor in Auburn, WA. Practice services are available at 4238 AUBURN WAY N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4238 Auburn Way N

Auburn, WA 980021311

Telephone 2069012000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Auburn, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Auburn, WA (11556 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-26
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License WA PR70077724

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003455106
Ellen Wastell

Counselor

NPI 1003635079
Leon Markey

Counselor

NPI 1013559160
Tamiim Kamali

Counselor

NPI 1013569409
NPI 1013613207

Registered Nurse, Bachelor of Science in Nursing

NPI 1013708205

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 09, 2026

NPI status registered as active in NPPES database

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Updated Practice Location February 09, 2026

Registered at 4238 AUBURN WAY N, AUBURN, WA 980021311 (Tel: 2069012000)

📍
Updated Business Mailing Address February 09, 2026

Registered at 6400 SOUTHCENTER BLVD, TUKWILA, WA 981882547

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Provider Name / Credentials Updated February 09, 2026

Recorded as AMY JACK, CPS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2026

Counselor

🟢
Initial NPI Registration & Enumeration February 09, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760333272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2026
Last Update: June 26, 2026
Sole Proprietor: Yes

Mailing Address

6400 Southcenter Blvd

Tukwila, WA 981882547

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.