Individual provider Active NPI

Sherman Robinson Jr., MHCA / SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1194008649
Registry record updated Sep 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CP60784743 Issued in WA
Practice address
901 E 2ND Ave Ste 201
Spokane, WA 99202-2257
Phone
(509) 474-1148
Fax
(833) 899-5113
NPI assigned
Sep 21, 2011
Last updated
Sep 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60784743 WA Primary
Mental Health Counselor 101YM0800X CG61442646 WA

Addresses

Primary practice location

901 E 2ND Ave Ste 201
Spokane, WA 99202-2257

Mailing address

PO Box 825
Spokane, WA 99210-0825
Phone (206) 501-7261

Other identifiers 1

IdentifierTypeStateIssuer
1194008649MedicaidWA

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
CP60784743WAMDAddiction (Substance Use Disorder) Counselor
CG61442646WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Axium Recovery Services PastSince Sep 28, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758931200000",
    "number": "1194008649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992100825",
            "telephone_number": "206-501-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E 2ND AVE STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022257",
            "telephone_number": "509-474-1148",
            "fax_number": "833-899-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SHERMAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MHCA / SUDP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-21",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60784743",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG61442646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194008649",
            "state": "WA"
        }
    ],
    "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 Sep 27, 2025; 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.