HONEY JACK NPI 1366309353

NPI Information

  • NPI: 1366309353
  • Provider Name: HONEY JACK
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 19730 64TH AVE W
    LYNNWOOD, WA
    ZIP 98036
  • Phone: (206) 612-8271

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NPI Details

Honey Jack is a peer specialist in Lynnwood, WA. The provider is 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. Honey Jack NPI is 1366309353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19730 64TH AVE W
LYNNWOOD, WA
ZIP 98036-957
Phone: (206) 612-8271

The enumeration date for this NPI number is 1/9/2026 and was last updated on 1/9/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistWASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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