Individual provider Active NPI

Brian Ahlquist

  • Mental Health Counselor
  • Spokane Valley, WA
National Provider Identifier
1033525381
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60657414 Issued in WA
Practice address
325 S University Rd Ste 202
Spokane Valley, WA 99206-6164
Phone
(509) 475-7392
NPI assigned
Jul 8, 2014
Last updated
May 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60657414 WA Primary

Addresses

Primary practice location

325 S University Rd Ste 202
Spokane Valley, WA 99206-6164

Mailing address

325 S University Rd Ste 202
Spokane Valley, WA 99206-6164
Phone (509) 475-7392

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

LicenseStateTypeSpecialty
LH60657414WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1033525381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "telephone_number": "509-475-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 202",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "telephone_number": "509-475-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLQUIST",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60657414",
            "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 May 28, 2016; 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.