Look up the most recent NPI and PECOS records

Jillian Anne Malinak

Counselor

Behavioral Health & Social Service Providers

3773 Martin Way E Ste 105, Olympia, WA 98506

PECOS Enrollment

Based on the most recent information from CMS, provider Jillian Anne Malinak does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1790181584
Provider Type
Individual
Full Name
Malinak, Jillian Anne
Title
Mrs.
Credential
SUDP, CAAR

Gender
Female
Sole Proprietor
No
Enumeration Date
11/6/2014
Last Updated
3/26/2021

Contact Information

Practice Location

3773 Martin Way E Ste 105, Olympia, WA 98506

(360) 688-7312

(360) 688-7318

Mailing Location

1210 68th Ave SE, Tumwater, WA 98501-5631

(360) 688-7312

(360) 688-7318

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License CP60690607 Washington
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License CP60690607 Washington
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License CO6049646 Washington
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License CG60674740 Washington

Jillian Anne Malinak

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Carnes, Toni

Eller, Jon Benjamin

Mcpherson, Jacklyn

Brown, Drew

Rainwater, Shannon Sue

Day, Alysia

Alfred, Kenneth David

Barnes, Zimryah

Bly, Harrison A

Siegfried, Jeremiah Joseph