Individual provider Active NPI

Janis Pruitt-Hamm, MA, LMHC

  • Mental Health Counselor
  • Kettle Falls, WA
National Provider Identifier
1144527300
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006329 Issued in WA
Practice address
1231B Mingo Mountain Rd
Kettle Falls, WA 99141-9704
Phone
(509) 230-6575
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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 LH00006329 WA Primary

Addresses

Primary practice location

1231B Mingo Mountain Rd
Kettle Falls, WA 99141-9704

Mailing address

298 S Main St
Colville, WA 99114-2447
Phone (186) 661-1169

Other identifiers 1

IdentifierTypeStateIssuer
LH00006329OtherWALICENSED MENTAL HEALTH COUNSELOR

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH00006329WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1144527300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142447",
            "telephone_number": "186-661-1169",
            "fax_number": "509-685-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231B MINGO MOUNTAIN RD",
            "city": "KETTLE FALLS",
            "state": "WA",
            "postal_code": "991419704",
            "telephone_number": "509-230-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUITT-HAMM",
        "first_name": "JANIS",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "LH00006329",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettle Falls, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.