Jan McCormick, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LMHC60831392 Issued in WA

Practice address

1404 E 11TH Ave
Spokane, WA 99202-3502

Phone

(509) 744-1117

NPI assigned

Nov 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1184225773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 E 36TH AVE APT 1102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234582",
            "telephone_number": "208-235-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E 11TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023502",
            "telephone_number": "509-744-1117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2715 E 36th Ave Apt 1102",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992234582",
            "country_code": "US",
            "telephone_number": "208-235-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LMHC60831392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynn McCorkle, BASW, MSW, MHP
• Riley Allen McCorkle, RDN
• Brian Timothy McCormack, LPC-A
• Aaron McCormick, LCSW
• Deborah Anne McCormick, CRNA
• Julie Ann McCormick, MSN, CNM, ARNP
• Madison McCormick
• Jocelyn Cayla McCornack, MD
• John McCoubrey, CPHT
• Matthew Lee McCowan, FNP-C

• Professional Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Professional Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.