Active NPI
Mariah Lynn Rhodes, MA
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1316166390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60011789
- Practice address
- 124 E Short Ave
Spokane, WA 99202-1555 - Phone
- (509) 838-4651
- NPI assigned
- Apr 25, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-3273 | ID | |
| Mental Health Counselor | 101YM0800X | LH60011789 | WA | Primary |
Addresses
Primary practice location
124 E Short Ave
Spokane, WA 99202-1555
Mailing address
107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651
Other practice location 1
5624 N Government Way
Suite 7B
Dalton Gardens, ID 83815-7350
Phone (208) 762-9890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-3273 | Other | ID | BUR OF LICENSING - LPC |
Other names 1
- Mariah Lynn Munstedt
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 |
|---|---|---|---|
| LH60011789 | WA | MD | Mental Health Counselor |
| LPC-3273 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Social Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Dalton Gardens, ID
- NPI 1720141906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1316166390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021510",
"telephone_number": "509-838-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E SHORT AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021555",
"telephone_number": "509-838-4651"
}
],
"practiceLocations": [
{
"address_1": "5624 N Government Way",
"address_2": "Suite 7B",
"address_purpose": "LOCATION",
"city": "Dalton Gardens",
"state": "ID",
"postal_code": "838157350",
"country_code": "US",
"telephone_number": "208-762-9890",
"fax_number": "208-762-9892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RHODES",
"first_name": "MARIAH",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-3273",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60011789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUR OF LICENSING - LPC",
"identifier": "LPC-3273",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIAH",
"last_name": "MUNSTEDT",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.