Individual provider Active NPI

Michelle Alice Remillard

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1194037622
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
60953838 Issued in WA
Practice address
701 E 3Rd Ave
Spokane, WA 99202-6014
Phone
(509) 838-6092
Fax
(509) 838-6110
NPI assigned
Jul 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 60953838 WA Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

701 E 3Rd Ave
Spokane, WA 99202-6014

Mailing address

701 E 3Rd Ave
Spokane, WA 99202-6014
Phone (509) 838-6092

Other identifiers 1

IdentifierTypeStateIssuer
0136MedicaidCA

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
60953838WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Care Centers, Inc. CurrentSince Sep 10, 2025 Accepting new patients
Mental Health Association of Alameda County PastSince Jan 1, 2021 Accepting new patients
Mental Health Association of Alameda County Past Accepting new patients
Neurobalance Treatment Center Past Accepting new patients

Locations

701 E 3rd Ave
Spokane, WA 99202
Phone (509) 838-6092

Organizations & group practices 4

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": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1194037622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026014",
            "telephone_number": "509-838-6092",
            "fax_number": "509-838-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026014",
            "telephone_number": "509-838-6092",
            "fax_number": "509-838-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMILLARD",
        "first_name": "MICHELLE",
        "middle_name": "ALICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "60953838",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136",
            "state": "CA"
        }
    ],
    "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 Mar 23, 2021; 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.