Individual provider Active NPI

Jamie Noelle Pendon, MS, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1457741589
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60621616 Issued in WA
Practice address
422 W Riverside Ave Ste 518
Spokane, WA 99201-0302
Phone
(509) 640-6790
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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 LH60621616 WA Primary

Addresses

Primary practice location

422 W Riverside Ave Ste 518
Spokane, WA 99201-0302

Mailing address

422 W Riverside Ave Ste 518
Spokane, WA 99201-0302
Phone (509) 640-6790

Other identifiers 1

IdentifierTypeStateIssuer
2056510MedicaidWA

Other names 1

  • Jamie Noelle Yotz Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60621616WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Via-Emdr, PLLC Mental Health Current Accepting new patients

Locations

422 W Riverside Ave
Ste 518
Spokane, WA 99201
Phone (316) 993-1172

421 W Riverside Ave
Ste 975
Spokane, WA 99201
Phone (509) 931-1314

Organizations & group practices 1

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": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1457741589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W RIVERSIDE AVE STE 518",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010302",
            "telephone_number": "509-640-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W RIVERSIDE AVE STE 518",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010302",
            "telephone_number": "509-640-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDON",
        "first_name": "JAMIE",
        "middle_name": "NOELLE",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60621616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056510",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "YOTZ",
            "middle_name": "NOELLE",
            "credential": "MS, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 3, 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.