Active NPI
Dana Tate, LAC
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1326785908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61477714
- Practice address
- 100 N Howard St Ste W
Spokane, WA 99201-0508 - Phone
- (951) 707-6284
- NPI assigned
- May 16, 2022
- 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 | 18246 | AZ | |
| Mental Health Counselor | 101YM0800X | MC61477714 | WA | Primary |
Addresses
Primary practice location
100 N Howard St Ste W
Spokane, WA 99201-0508
Mailing address
100 N Howard St Ste W
Spokane, WA 99201-0508
Phone (951) 707-6284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18246 | AZ | MD | Mental Health Counselor |
| MC61477714 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alevea Mental Health LLC | Mental Health | Current | Accepting new patients |
Locations
2034 E Southern Ave
Ste D
Tempe, AZ 85282
Phone (480) 779-8319
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FGCDDD
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1326785908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "951-707-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE W",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "951-707-6284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "DANA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-16",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "18246",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61477714",
"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 Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.