Individual provider Active NPI

Andrea Hainsworth, LMHCA

  • Counselor
  • Spokane, WA
National Provider Identifier
1174112932
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
61079461 Issued in WA
Practice address
140 S Arthur St Ste 510
Spokane, WA 99202-2260
Phone
(509) 761-9961
NPI assigned
Jan 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 61079461 WA Primary

Addresses

Primary practice location

140 S Arthur St Ste 510
Spokane, WA 99202-2260

Mailing address

4713 E 40TH CT
Spokane, WA 99223-1272
Phone (509) 981-3949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 19, 2026 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61079461WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connection Hub PLLC Current Accepting new patients

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1174112932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 E 40TH CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231272",
            "telephone_number": "509-981-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S ARTHUR ST STE 510",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022260",
            "telephone_number": "509-761-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINSWORTH",
        "first_name": "ANDREA",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "61079461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.