Individual provider Active NPI

Kaitlyn Michelle German

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
National Provider Identifier
1376399980
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
61535958 Issued in WA
Practice address
4305 E Trent Ave
Spokane, WA 99212-1315
Phone
(509) 795-3133
Fax
(509) 795-3141
NPI assigned
Apr 24, 2024
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 61535958 WA Primary

Addresses

Primary practice location

4305 E Trent Ave
Spokane, WA 99212-1315

Mailing address

23614 E Sprague Ave
Liberty Lake, WA 99019-9621
Phone (509) 638-8285

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

State licenses

LicenseStateTypeSpecialty
61535958WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
WCHS Inc Addiction (Substance Use Disorder) PastSince Apr 28, 2024 Accepting new patients
WCHS, Inc PastSince Apr 28, 2024 Accepting new patients

Organizations & group practices 2

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": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1376399980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23614 E SPRAGUE AVE",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199621",
            "telephone_number": "509-638-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 E TRENT AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992121315",
            "telephone_number": "509-795-3133",
            "fax_number": "509-795-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAN",
        "first_name": "KAITLYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "61535958",
            "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 Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.