Active NPI
Cory Michelle Standridge, LCPC, NCC
- Professional Counselor
- Spokane, WA
National Provider Identifier
1194088286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180008064
- Practice address
- 1100 West Mallon
Spokane, WA 99260 - Phone
- (217) 316-6962
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180008064 | IL | Primary |
Addresses
Primary practice location
1100 West Mallon
Spokane, WA 99260
Mailing address
4918 N Elton Lane
Spokane, WA 99212
Phone (217) 316-6962
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180008064 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1194088286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4918 N ELTON LANE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99212",
"telephone_number": "217-316-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WEST MALLON",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99260",
"telephone_number": "217-316-6962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDRIDGE",
"first_name": "CORY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "LCPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180008064",
"primary": true
}
],
"identifiers": [],
"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 Jun 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.