Individual provider Active NPI

Cody Clements

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1275407413
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
101YM0800X Issued in WA
Practice address
22 S Thor St
Spokane, WA 99202-4855
Phone
(509) 532-2000
NPI assigned
Oct 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 101YM0800X WA Primary

Addresses

Primary practice location

22 S Thor St
Spokane, WA 99202-4855

Mailing address

7320 S Fruitvale Rd Unit B1
Cheney, WA 99004-5387
Phone (509) 308-5672

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
101YM0800XWAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Minds PLLC Mental Health CurrentSince Oct 5, 2025 Accepting new patients
Yfa Connections Mental Health PastSince Nov 29, 2020 Accepting new patients

Locations

1212 N Washington St
Ste 327
Spokane, WA 99201
Phone (509) 505-4567

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1275407413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 S FRUITVALE RD UNIT B1",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990045387",
            "telephone_number": "509-308-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S THOR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024855",
            "telephone_number": "509-532-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "101YM0800X",
            "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 Mar 23, 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.