Individual provider Active NPI

Zaynab Alene Elkherbaoui

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1396218772
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61144341 Issued in WA
Practice address
100 N Howard St Ste W
Spokane, WA 99201-0508
Phone
(304) 942-9788
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2103122 OH
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X MC61144341 WA Primary

Addresses

Primary practice location

100 N Howard St Ste W
Spokane, WA 99201-0508

Mailing address

4 Japonica Dr
Cincinnati, OH 45218-1239
Phone (304) 942-9788

Other practice location 1

6570 Sosna Dr
Fairfield, OH 45014-2222
Phone (513) 892-4673

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL zaynabelkherbaoui@mindfultherapygroup.com Direct

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
C.2103122OHMDMental Health Counselor
MC61144341WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Decoach Team LLC CurrentSince Nov 1, 2021 Accepting new patients
Decoach Team LLC PastSince Nov 1, 2021 Accepting new patients

Locations

6570 Sosna Dr
Fairfield, OH 45014
Phone (513) 942-4673

3103 Dixie Hwy
Hamilton, OH 45015
Phone (513) 892-4673

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1396218772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JAPONICA DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452181239",
            "telephone_number": "304-942-9788"
        },
        {
            "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": "304-942-9788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6570 Sosna Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450142222",
            "country_code": "US",
            "telephone_number": "513-892-4673",
            "fax_number": "513-860-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKHERBAOUI",
        "first_name": "ZAYNAB",
        "middle_name": "ALENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2103122",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61144341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "zaynabelkherbaoui@mindfultherapygroup.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 N Howard St Ste W",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992010508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 20, 2022; 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.