Little Bird Psychotherapy, P.S., Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LITTLE BIRD PSYCHOTHERAPY, P.S., INC

Practice address

1325 W 1St Ave Ste 202
Spokane, WA 99201-4148

Phone

(509) 844-2982

Fax

(833) 520-4835

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Tiffany Cannon-Keiser, LMHCNPI 1750876199

Title

Owner/Psychotherapist

Phone

(509) 844-2982

Specialties & licenses 3

Addresses

Other names 1

• Little Bird Psychotherapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany L Cannon-Keiser, MA, LMHC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1750876199
  NPD Authorized official

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1194340679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W 1ST AVE STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014148",
            "telephone_number": "509-844-2982",
            "fax_number": "833-520-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W 1ST AVE STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992014148",
            "telephone_number": "509-844-2982",
            "fax_number": "833-520-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BIRD PSYCHOTHERAPY, P.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "CANNON-KEISER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "509-844-2982",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Bird Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Little Bird Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa R Grossman PHD LLC
• Julie Liss, RN
• Alexei V Lissounov, M.D.
• Clayton Eugene Littell, RPH
• Micah Litterell
• Amanda Elizabeth Little
• Debra Jean Little, ARNP
• Muana Little
• Riely Little
• Salem Janae-Russell Little

• Mental Health Clinic/Center (Including Community Mental Health Center) in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.