Individual provider Active NPI

Vanessa R. Jarrett, CP60832549

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1124502158
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61044126 Issued in WA
Practice address
105 W 3Rd Ave
Spokane, WA 99201-3609
Phone
(509) 389-6820
NPI assigned
Sep 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60832549 WA
Mental Health Counselor 101YM0800X MC61044126 WA Primary
Mental Health Counselor 101YM0800X 60743380 WA

Addresses

Primary practice location

105 W 3Rd Ave
Spokane, WA 99201-3609

Mailing address

105 W 3Rd Ave
Spokane, WA 99201-3609
Phone (509) 570-7250

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
CP60832549WAMDAddiction (Substance Use Disorder) Counselor
60743380WAMDMental Health Counselor
MC61044126WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Treatment and Recovery Services Addiction (Substance Use Disorder) CurrentSince Jun 1, 2023 Accepting new patients
Community Detox Services of Spokane CurrentSince Dec 12, 2021 Accepting new patients

Locations

4324 N Jefferson St
Spokane, WA 99205
Phone (509) 315-8682

105 W 3rd Ave
Spokane, WA 99201
Phone (509) 389-6820

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spokanerecovery/r4/

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": "1536969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1124502158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013609",
            "telephone_number": "509-570-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013609",
            "telephone_number": "509-389-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "VANESSA",
        "middle_name": "R.",
        "credential": "CP60832549",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-15",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60832549",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61044126",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60743380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.