Organization Active NPI

Valley Counseling and Wellness PLLC

  • Mental Health Counselor
  • Omak, WA
National Provider Identifier
1447071626
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VALLEY COUNSELING AND WELLNESS PLLC
Practice address
130 N Main St
Suite #1
Omak, WA 98841
Phone
(509) 557-0768
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Kelcie Eddy, LMHCNPI 1770916801
Title
Owner
Phone
(509) 557-0768

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

130 N Main St
Suite #1
Omak, WA 98841

Mailing address

16 John Peterson Rd
Omak, WA 98841-9393
Phone (509) 557-0768

National Provider Directory

National Provider Directory

Locations

130 Main St S
Ste 1
Omak, WA 98841
Phone (509) 557-0768

Practitioners & affiliated clinicians

Practitioners 1

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": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1447071626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JOHN PETERSON RD",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419393",
            "telephone_number": "509-557-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N MAIN ST",
            "address_2": "SUITE #1",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "98841",
            "telephone_number": "509-557-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY COUNSELING AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "KELCIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-557-0768",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omak, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.