Individual provider Active NPI

Margaret Jill Harrison, M.S..

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1083752257
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00005498 Issued in WA
Practice address
1404 E 11TH Ave
Spokane, WA 99202-3502
Phone
(509) 290-2649
Fax
(509) 485-5101
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 LH00005498 WA Primary

Addresses

Primary practice location

1404 E 11TH Ave
Spokane, WA 99202-3502

Mailing address

1404 E 11TH Ave
Spokane, WA 99202-3502
Phone (509) 290-2649

Other names 1

  • Jill Madsen Kelly Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126001731 WA Practitioner - Mental Health Counselor 1355604331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1404 E 11TH Ave
Spokane, WA 99202-3502
Phone (509) 290-2649

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH00005498WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jill Madsen Kelly CurrentSince Oct 30, 2024 Accepting new patients
Harrison Renfrew LLC Dba Center for Family Development Mental Health PastSince Feb 28, 2018 Accepting new patients

Locations

1404 E 11th Ave
Spokane, WA 99202
Phone (509) 290-2649

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1083752257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 E 11TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023502",
            "telephone_number": "509-290-2649",
            "fax_number": "509-485-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E 11TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023502",
            "telephone_number": "509-290-2649",
            "fax_number": "509-485-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MARGARET",
        "middle_name": "JILL",
        "credential": "M.S..",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "MADSEN KELLY",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.