Individual provider Active NPI

Douglas A Cheatham, LMHC

  • Mental Health Counselor
  • Yakima, WA
National Provider Identifier
1396927802
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006227 Issued in WA
Practice address
1701 Creekside Loop Ste 102
Yakima, WA 98902-4874
Phone
(509) 966-8775
Fax
(509) 966-8775
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 LH00006227 WA Primary

Addresses

Primary practice location

1701 Creekside Loop Ste 102
Yakima, WA 98902-4874

Mailing address

1701 Creekside Loop Ste 102
Yakima, WA 98902-4874
Phone (509) 966-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260216002497 WA Order and Referring Only - Mental Health Counselor 1951881200

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1314 N 16TH Ave
BLDG a
Yakima, WA 98902-1354
Phone (509) 966-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH00006227WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1396927802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CREEKSIDE LOOP STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024874",
            "telephone_number": "509-966-8775",
            "fax_number": "509-966-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CREEKSIDE LOOP STE 102",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024874",
            "telephone_number": "509-966-8775",
            "fax_number": "509-966-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.