Active NPI
Gary Mark Frost
- Mental Health Counselor
- Spokane Valley, WA
National Provider Identifier
1003470006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00006230
- Practice address
- 915 N Ella Rd
Spokane Valley, WA 99212-3704 - Phone
- (509) 340-7214
- NPI assigned
- Apr 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00003456 | WA | |
| Mental Health Counselor | 101YM0800X | LH00006230 | WA | Primary |
Addresses
Primary practice location
915 N Ella Rd
Spokane Valley, WA 99212-3704
Mailing address
804 S Lincoln PL Apt a
Spokane, WA 99204-2920
Phone (509) 220-0672
Other practice location 1
4202 S Regal St
Spokane, WA 99223-7738
Phone (509) 789-3800
Other practice location 2
460 N 6th St
Cheney, WA 99004-2297
Phone (509) 559-4021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00003456 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH00006230 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Washington Educational Service District 101 | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Spokane, WA
- NPI 1013491240
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1003470006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 S LINCOLN PL APT A",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042920",
"telephone_number": "509-220-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N ELLA RD",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992123704",
"telephone_number": "509-340-7214"
}
],
"practiceLocations": [
{
"address_1": "4202 S Regal St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992237738",
"country_code": "US",
"telephone_number": "509-789-3800",
"fax_number": "509-323-2765",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "460 N 6th St",
"address_purpose": "LOCATION",
"city": "Cheney",
"state": "WA",
"postal_code": "990042297",
"country_code": "US",
"telephone_number": "509-559-4021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FROST",
"first_name": "GARY",
"middle_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-24",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00003456",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00006230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.