Organization Active NPI

Richard a Wilson Ma

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1275656332
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00007082 Issued in WA
Legal business name
RICHARD A WILSON MA
Practice address
104 S Freya St Ste 215B
Orange Flag BLGD
Spokane, WA 99202-6204
Phone
(509) 535-2048
Fax
(509) 535-2046
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard A Wilson, LMHC
Title
Owner
Phone
(509) 535-2048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH00007082 WA Primary

Addresses

Primary practice location

104 S Freya St Ste 215B
Orange Flag BLGD
Spokane, WA 99202-6204

Mailing address

122 N Raymond Rd
Ste 20
Spokane Valley, WA 99206-6832
Phone (509) 926-1770

National Provider Directory

National Provider Directory

Locations

122 N Raymond Rd
Ste 20
Spokane Valley, WA 99206

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275656332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N RAYMOND RD",
            "address_2": "STE 20",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066832",
            "telephone_number": "509-926-1770",
            "fax_number": "509-228-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST STE 215B",
            "address_2": "ORANGE FLAG BLGD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026204",
            "telephone_number": "509-535-2048",
            "fax_number": "509-535-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A WILSON MA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-535-2048",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00007082",
            "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 Aug 22, 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.