Individual provider Active NPI

Kandis Rose Paskell, LMHC

  • Mental Health Counselor
  • Davenport, WA
National Provider Identifier
1366959470
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60820526 Issued in WA
Practice address
547 Morgan Street
Davenport, WA 99122
Phone
(765) 409-3616
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60820526 WA Primary

Addresses

Primary practice location

547 Morgan Street
Davenport, WA 99122

Mailing address

1408 W 13TH Ave
Spokane, WA 99204-4016
Phone (765) 409-3616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60820526WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Community Mental Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Anchorage Community Mental Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Anchorage Community Mental Health Services Inc. Current Accepting new patients

Locations

4020 Folker St
Anchorage, AK 99508
Phone (907) 561-0954

4045 Lake Otis Pkwy
Ste 101
Anchorage, AK 99508
Phone (907) 561-0954

4045 Lake Otis Pkwy
Ste 209
Anchorage, AK 99508
Phone (907) 561-5440

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1366959470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W 13TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044016",
            "telephone_number": "765-409-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 MORGAN STREET",
            "city": "DAVENPORT",
            "state": "WA",
            "postal_code": "99122",
            "telephone_number": "765-409-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASKELL",
        "first_name": "KANDIS",
        "middle_name": "ROSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60820526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, WA

Sources for this page

Verify at the official NPI Registry.