Organization Active NPI

Briar Rose Center, the Home of Hope

  • Clinical Psychologist
  • Spokane Valley, WA
National Provider Identifier
1437397627
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
602686727 Issued in WA
Legal business name
BRIAR ROSE CENTER, THE HOME OF HOPE
Doing business as
Briar Rose Center, The Home of Hope & Healing PLLC
Practice address
11802 E Mansfield Ave
Suite 1
Spokane Valley, WA 99206-4788
Phone
(509) 496-2857
Fax
(509) 343-1622
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Dr. Kimberly Cole, PSY.DNPI 1326211731
Title
Owner/Manager
Phone
(509) 496-2857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 602686727 WA Primary

Addresses

Primary practice location

11802 E Mansfield Ave
Suite 1
Spokane Valley, WA 99206-4788

Mailing address

11802 E Mansfield Ave
Suite 1
Spokane Valley, WA 99206-4788
Phone (509) 496-2857

Other identifiers 1

IdentifierTypeStateIssuer
7142250MedicaidWA

Other names 1

  • Briar Rose Center, The Home of Hope & Healing PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150205001810 WA Part B Supplier - Clinic/Group Practice 8628393022 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory

Locations

11802 E Mansfield Ave
Ste 1
Spokane Valley, WA 99206
Phone (509) 473-9157

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1437397627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11802 E MANSFIELD AVE",
            "address_2": "SUITE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064788",
            "telephone_number": "509-496-2857",
            "fax_number": "509-343-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11802 E MANSFIELD AVE",
            "address_2": "SUITE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064788",
            "telephone_number": "509-496-2857",
            "fax_number": "509-343-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAR ROSE CENTER, THE HOME OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "509-496-2857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "602686727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7142250",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Briar Rose Center, The Home of Hope & Healing PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.