Individual provider Active NPI

Anna Stubbs, AGENCY AFFILIATED

  • Counselor
  • Spokane, WA
National Provider Identifier
1235604703
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CG60623695 Issued in WA
Practice address
812 S Walnut St
Spokane, WA 99204-3326
Phone
(509) 241-3130
NPI assigned
Oct 10, 2018
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG60623695 WA Primary
Peer Specialist 175T00000X PR70084217 WA

Addresses

Primary practice location

812 S Walnut St
Spokane, WA 99204-3326

Mailing address

812 S Walnut St
Spokane, WA 99204-3326
Phone (509) 624-3251

Other practice location 1

1508 W 6th Ave
Spokane, WA 99204-3409
Phone (509) 624-5228

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
CG60623695WAMDCounselor
PR70084217WAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Addiction Recovery Centers Past Accepting new patients
Spokane Addiction Recovery Centers Past Accepting new patients

Organizations & group practices 2

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1235604703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 S WALNUT ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043326",
            "telephone_number": "509-624-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 S WALNUT ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043326",
            "telephone_number": "509-241-3130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 W 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992043409",
            "country_code": "US",
            "telephone_number": "509-624-5228",
            "fax_number": "509-624-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "ANNA",
        "credential": "AGENCY AFFILIATED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60623695",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "PR70084217",
            "primary": false
        }
    ],
    "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 Mar 31, 2026; 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.