Individual provider Active NPI

Laura Alvarez Matheson

  • Mental Health Counselor
  • Spokane Valley, WA
National Provider Identifier
1063875383
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61340407 Issued in WA
Practice address
12709 E Mirabeau Pkwy Ste 300
Spokane Valley, WA 99216-1665
Phone
(208) 407-8555
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61340407 WA Primary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 5072 ID

Addresses

Primary practice location

12709 E Mirabeau Pkwy Ste 300
Spokane Valley, WA 99216-1665

Mailing address

8417 E Euclid Ave
Millwood, WA 99212-2056
Phone (208) 407-8555

Other practice location 1

8417 E Euclid Ave
Millwood, WA 99212
Phone (208) 407-8555

Other identifiers 1

IdentifierTypeStateIssuer
294MedicaidID

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
5072IDMDMental Health Counselor
61340407WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1063875383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 E EUCLID AVE",
            "city": "MILLWOOD",
            "state": "WA",
            "postal_code": "992122056",
            "telephone_number": "208-407-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 E MIRABEAU PKWY STE 300",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161665",
            "telephone_number": "208-407-8555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8417 E Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Millwood",
            "state": "WA",
            "postal_code": "99212",
            "country_code": "US",
            "telephone_number": "208-407-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "LAURA",
        "middle_name": "ALVAREZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61340407",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "5072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "294",
            "state": "ID"
        }
    ],
    "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 8, 2026; 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.