NPIMap

Individual provider Active NPI

Philip Charles Lohman IV, LSWAIC

  • Mental Health Counselor
  • Othello, WA
National Provider Identifier
1508217290
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SWIA.SC.60941265 Issued in WA
Practice address
425 E Main St Ste 600
Othello, WA 99344-1146
Phone
(509) 488-4074
Fax
(509) 488-0166
NPI assigned
Jun 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SWIA.SC.60941265 WA
Mental Health Counselor 101YM0800X SWIA.SC.60941265 WA Primary

Addresses

Primary practice location

425 E Main St Ste 600
Othello, WA 99344-1146

Mailing address

425 E Main St Ste 600
Othello, WA 99344-1146
Phone (509) 488-4074

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

State licenses

LicenseStateTypeSpecialty
SWIA.SC.60941265WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Villages Past Accepting new patients
Cascadia PastSince May 24, 2020 Accepting new patients
County of Adams Mental Health Past Accepting new patients
Cascadia Health PastSince May 24, 2020 Accepting new patients
County of Adams Past Accepting new patients
Youth Villages Past Accepting new patients

Organizations & group practices 6

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": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1508217290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST STE 600",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441146",
            "telephone_number": "509-488-4074",
            "fax_number": "509-488-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST STE 600",
            "city": "OTHELLO",
            "state": "WA",
            "postal_code": "993441146",
            "telephone_number": "509-488-4074",
            "fax_number": "509-488-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHMAN",
        "first_name": "PHILIP",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SWIA.SC.60941265",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SWIA.SC.60941265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Othello, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.