Kerry Deann Anderson, LMHC
Individual provider Active NPI Mental Health Counselor · Spokane Valley, WA
NPI 1316110307 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1316110307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1348 (MT)
- Practice address
- 11016 E Broadway Ave
Spokane Valley, WA 99206-5006 - Phone
- (509) 558-4114
- Fax
- (509) 824-8630
- NPI assigned
- Apr 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
PO Box
Dallas, TX 75373
PO Box
Suite 738012
Dallas, TX 75373-8012
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260402003232 | WA | Practitioner - Mental Health Counselor | 3779062492 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1348 | MT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Thompson School District | Past | Accepting new patients | |
| Spokane Public Schools District 81 | Past | Accepting new patients |
Interoperability endpoints
- kerryvaught@tdh.allscriptsdirect.net
- https://api.qualifacts.org/api/fhir/spokaneschools/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1348 | MT | Yes |
Addresses
Primary practice location
11016 E Broadway Ave
Spokane Valley, WA 99206-5006
Mailing address
2028 W Twinkling Star Rd
Post Falls, ID 83854-5094
Phone (406) 396-5043
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0255892 | Medicaid | MT |
Other names
- Kerry Deann Hanley
Other providers in Spokane Valley, WA
- Elzbieta H Anderson
- Gretchen Elizabeth Anderson
- Jacqueline Alycia Anderson
- Jamie Anderson
- Kaylee Anne Anderson
- Shane S Anderson
- Valerie Kim Anderson
- Haley Anderton
- Michael A Andrade
- Jared Merlin Andrews
All providers in Spokane Valley, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.