Richard Wallace Paulsen, COUNSELOR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

601650528 Issued in WA

Practice address

9507 N Division St Ste G
Spokane, WA 99218-1553

Phone

(509) 484-4021

NPI assigned

Sep 6, 2022

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

State licenses

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1104547561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28805",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992288805",
            "telephone_number": "509-484-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9507 N DIVISION ST STE G",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181553",
            "telephone_number": "509-484-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "RICHARD",
        "middle_name": "WALLACE",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "601650528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Matthew Paull, B.S., P.T.
• Anna J Paullin-Fish
• Carla A Paullin, MA
• Jason W Paulsen, PTA
• Jennifer Michelle Paulsen
• Kari Astrid Paulson
• Natalie Isabelle Paulson
• Layne E Pavey, LCSW
• Yolanda R Pavey, CRNA
• Susan Elizabeth Pavlansky

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, 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 Sep 6, 2022; 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.