Mikolasy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

60812427 Issued in WA

Legal business name

MIKOLASY, LLC

Practice address

400 S Jefferson St Ste 451
Spokane, WA 99204-3143

Phone

(619) 693-7576

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Rachel E Mikolasy, LMFTNPI 1235598046

Title

Owner/Therapist

Phone

(509) 230-9722

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Return to Roots Therapy Doing business as

Practitioners 1

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

• Rachel Emma Margaret Mikolasy, MA, LMFT

  • Marriage & Family Therapist
  • Spokane, WA
  • NPI 1235598046
  NPD Authorized official

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1497237457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4231",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992200231",
            "telephone_number": "509-230-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S JEFFERSON ST STE 451",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043143",
            "telephone_number": "619-693-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKOLASY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "MIKOLASY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "509-230-9722",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "WA",
            "license": "60812427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235598046",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Return to Roots Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elezaveta Y Mikheyeva, MSW LICSW
• Cris Mikkelsen, NCLE-AC, NCLEM
• David J Mikkelsen, M.D.
• Erik Paul Mikkelsen, OT
• Leslie Ann Miknavich, MSW
• Rachel Emma Margaret Mikolasy, MA, LMFT
• Paul A Milani, PHARMD
• Michael R Milanoski, DPT
• Angela Milatz, SLP
• Sabina Nicole Milbrath, COTA

• Adult Mental Health Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Adult Mental Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.