Individual provider Active NPI

Albert E Powell, M.A.

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1174663173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00004402 Issued in WA
Practice address
807 W 7TH Ave
Spokane, WA 99204-2808
Phone
(509) 455-7654
Fax
(509) 455-4112
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LH00004402 WA Primary

Addresses

Primary practice location

807 W 7TH Ave
Spokane, WA 99204-2808

Mailing address

807 W 7TH Ave
Spokane, WA 99204-2808
Phone (509) 455-7654

Other names 1

  • Bert Powell Professional name

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
LH00004402WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marycliff Psychotherapy Services, Inc. PastSince Dec 1, 2023 Accepting new patients
Beth Fergin Psychotherapy, Inc. Past Accepting new patients

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174663173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042808",
            "telephone_number": "509-455-7654",
            "fax_number": "509-455-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042808",
            "telephone_number": "509-455-7654",
            "fax_number": "509-455-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ALBERT",
        "middle_name": "E",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERT",
            "last_name": "POWELL",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 8, 2007; 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.