Individual provider Active NPI

Angela Dawn Scheres, LMHC, SUDP, MHP

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1174003602
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61198309 Issued in WA
Practice address
2103 E Longfellow Ave
Spokane, WA 99207-4331
Phone
(509) 251-9902
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61198309 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP61012280 WA

Addresses

Primary practice location

2103 E Longfellow Ave
Spokane, WA 99207-4331

Mailing address

PO Box 7415
Spokane, WA 99207-0376
Phone (509) 280-3226

Other practice location 1

1302 W Gardner Ave
Spokane, WA 99201-2059
Phone (509) 503-6010

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
CP61012280WAMDAddiction (Substance Use Disorder) Counselor
LH61198309WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Treatment and Recovery Services Addiction (Substance Use Disorder) PastSince Jun 1, 2023 Accepting new patients

Interoperability endpoints

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

Organizations & group practices 1

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1174003602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7415",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992070376",
            "telephone_number": "509-280-3226",
            "fax_number": "509-870-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 E LONGFELLOW AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992074331",
            "telephone_number": "509-251-9902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 W Gardner Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992012059",
            "country_code": "US",
            "telephone_number": "509-503-6010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHERES",
        "first_name": "ANGELA",
        "middle_name": "DAWN",
        "credential": "LMHC, SUDP, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2022-11-07",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61198309",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61012280",
            "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 Nov 7, 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.