Healthcare Provider Details

I. General information

NPI: 1659438315
Provider Name (Legal Business Name): JASON GENE JOST MA, LMHC, PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 08/30/2025
Certification Date: 08/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WESTLAKE AVE N STE 504
SEATTLE WA
98109-3528
US

IV. Provider business mailing address

1200 WESTLAKE AVE N STE 504
SEATTLE WA
98109-3528
US

V. Phone/Fax

Practice location:
  • Phone: 206-329-5146
  • Fax:
Mailing address:
  • Phone: 206-329-5146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberRC00047959
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00010824
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: