Active NPI
Jean Frances Herzog, M.A.
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1295844835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00003438
- Practice address
- 701 W 7TH Ave
Suite130
Spokane, WA 99204-2843 - Phone
- (509) 220-9601
- Fax
- (509) 747-6817
- NPI assigned
- Aug 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00003438 | WA | Primary |
| Marriage & Family Therapist | 106H00000X | LF00001095 | WA |
Addresses
Primary practice location
701 W 7TH Ave
Suite130
Spokane, WA 99204-2843
Mailing address
701 W 7TH Ave
Suite130
Spokane, WA 99204-2843
Phone (509) 220-9601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QMXPR0065530 | Other | WA | MOLINA HEALTHCARE, INC. |
| 7035115 | Other | CT | AETNA BEHAVIORAL HEALTH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00003438 | WA | MD | Mental Health Counselor |
| LF00001095 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295844835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W 7TH AVE",
"address_2": "SUITE130",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042843",
"telephone_number": "509-220-9601",
"fax_number": "509-747-6817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W 7TH AVE",
"address_2": "SUITE130",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042843",
"telephone_number": "509-220-9601",
"fax_number": "509-747-6817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZOG",
"first_name": "JEAN",
"middle_name": "FRANCES",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00003438",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF00001095",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE, INC.",
"identifier": "QMXPR0065530",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "7035115",
"state": "CT"
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.