Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013596212 Individual Practitioner Male Practitioner

Jay E Mitchell , MA, MFT

Counselor • Deer Park, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jay Mitchell, MA, MFT is a certified Counselor practicing in Deer Park, WA. With approximately 4 years of clinical experience since completing medical education in 2022, Jay Mitchell delivers high-quality medical care to the local community at 110 W CRAWFORD ST STE J.

Jay Mitchell accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

110 W Crawford St Ste J

Deer Park, WA 990065356

Telephone 5098186844
Associated Practice Facility / Clinic
🏢 49 Degrees Counseling Inc Facility NPI 1780471557

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Deer Park, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs Matches City Avg
City Avg: 4.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Deer Park, WA (11556 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitchell (4 Years) 4 Yrs
Deer Park Specialty Average (4.0 Years) 4.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-09-27
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA 61315505

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.

Secondary Practice Locations

301 E Clay Ave Ste 201

Chewelah, WA 991098936

Phone: 5096844597

165 E Hawthorne Ave

Colville, WA 991142629

Phone: 5096844597

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 07, 2022

Registered at 110 W CRAWFORD ST STE J, DEER PARK, WA 990065356 (Tel: 5098186844)

📍
Updated Business Mailing Address October 07, 2022

Registered at PO BOX 1641, DEER PARK, WA 990061641 (Tel: 5098186844)

👤
Provider Name / Credentials Updated October 07, 2022

Recorded as JAY MITCHELL, MA, MFT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2022

Counselor (License #61315505 in WA)

NPI Profile Active April 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2021

Registered at 301 E CLAY AVE STE 201, CHEWELAH, WA 991098936 (Tel: 5096844597)

📍
Updated Business Mailing Address April 05, 2021

Registered at 165 E HAWTHORNE AVE, COLVILLE, WA 991142629 (Tel: 5096844597)

👤
Provider Name / Credentials Updated April 05, 2021

Recorded as JAY MITCHELL, BS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Counselor (License #61150767 in WA)

🟢
Initial NPI Registration & Enumeration April 05, 2021

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: 1013596212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2021
Last Update: October 07, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 1641

Deer Park, WA 990061641

Phone: 5098186844

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.