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Active NPI 1518472091 Individual Practitioner Female Practitioner

Jetta Beacon

Counselor • Lacey, WA

Professional Overview & Biography Verified Profile Summary

Jetta Beacon is a registered healthcare professional specializing in Counselor in Lacey, WA. Practice services are available at 1110 GOLF CLUB RD SE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1110 Golf Club Rd Se Ste 101

Lacey, WA 985032302

Telephone 3603596870
Associated Practice Facility / Clinic
🏢 Becky Pedersen Counseling Facility NPI 1477366896

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Lacey, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
45 Specialists

Practicing in Lacey, 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

Medical Specialties & State Licenses

CMS Verified: 2026-01-19
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.

Secondary Practice Locations

3716 Pacific Ave

Tacoma, WA 984187836

Phone: 2852850821

Practice Associates & Co-Workers

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

3 Associated Practitioners
Timoteo Yepes , LICSW

Social Worker - Clinical

NPI 1184949786

Licensed Independent Clinical Social Worker

Brian Rogers , MA, LMHC

Counselor - Mental Health

NPI 1942915764

Master of Arts, Licensed Mental Health Counselor

Becky Pedersen , LMHC

Counselor - Mental Health

NPI 1982722997

Licensed Mental Health Counselor

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 19, 2026

Registered at 1110 GOLF CLUB RD SE STE 101, LACEY, WA 985032302 (Tel: 3603596870)

📍
Updated Business Mailing Address January 19, 2026

Registered at 1110 GOLF CLUB RD SE STE 101, LACEY, WA 985032302 (Tel: 3603596870)

NPI Profile Active December 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2017

Registered at 224 E WISHKAH ST, ABERDEEN, WA 985206513 (Tel: 3606286305)

📍
Updated Business Mailing Address December 06, 2017

Registered at 224 E WISHKAH ST, ABERDEEN, WA 985206513 (Tel: 3606286305)

👤
Provider Name / Credentials Updated December 06, 2017

Recorded as JETTA BEACON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2017

Counselor

🟢
Initial NPI Registration & Enumeration December 06, 2017

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: 1518472091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2017
Last Update: January 19, 2026
Sole Proprietor: Yes

Mailing Address

1110 Golf Club Rd Se Ste 101

Lacey, WA 985032302

Phone: 3603596870

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.