IndividualActive
Jay Mitchell, MA, MFT
NPI 1013596212 · Counselor · Deer Park, WA
Provider details
- NPI number
- 1013596212
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MA, MFT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 61315505 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 W Crawford St Ste J
Deer Park, WA 99006-5356
Phone: (509) 818-6844
Street-level locationGet directions
Mailing address
Po Box 1641
Deer Park, WA 99006-1641
Additional practice locations (2)
- 301 E Clay Ave Ste 201Chewelah, WA 99109-8936Phone: (509) 684-4597
- 165 E Hawthorne AveColville, WA 99114-2629Phone: (509) 684-4597
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2022-10-07
- Certified
- 2022-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.