Fresh Start Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FRESH START BEHAVIORAL HEALTH LLC

Practice address

601 W 1St Ave
Spokane, WA 99201-3825

Phone

(509) 418-5216

NPI assigned

Oct 6, 2023

Organization subpart

No

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

Authorized official

Name

Mohamed BahNPI 1790333748

Title

Owner

Phone

(713) 748-5086

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed Bah, PMHNP

  • Nurse Practitioner
  • Spokane, WA
  • NPI 1790333748

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Albert Nii Amoo Quainoo

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring, TX
  • NPI 1417695966

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1063293082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 ARMAND DR",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394461",
            "telephone_number": "509-418-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W 1ST AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013825",
            "telephone_number": "509-418-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "BAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-748-5086"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory A French, RPH
• Elizabeth French, L.M.P
• Katharine French
• Michael French, CRNA
• Ruth French, MSW
• Larry R Freshour, PT
• Carl E Freter, MD
• Freuen Hauck Paxton Oms PLLC
• Nicholas Downey Freuen, DDS
• Patrick F Freuen, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.