Nathan Bradley Bauder, MA, NCC, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60932228 Issued in WA

Practice address

2426 S Dishman Mica Rd Ste 4
Spokane Valley, WA 99206-6409

Phone

(509) 638-4590

NPI assigned

Oct 2, 2019

Last updated

Oct 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1023659877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 S HOGAN ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992034316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2426 S DISHMAN MICA RD STE 4",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066409",
            "telephone_number": "509-638-4590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 W 7th Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042833",
            "country_code": "US",
            "telephone_number": "509-638-4590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUDER",
        "first_name": "NATHAN",
        "middle_name": "BRADLEY",
        "credential": "MA, NCC, LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60932228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.