Active NPI
Taneisha Cortney Lybbert
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1548717655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61502070
- Practice address
- 323 E 2ND Ave Ste 201
Spokane, WA 99202-1455 - Phone
- (509) 418-4484
- Fax
- (509) 381-3470
- NPI assigned
- Sep 7, 2016
- Last updated
- Jan 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61502070 | WA | Primary |
Addresses
Primary practice location
323 E 2ND Ave Ste 201
Spokane, WA 99202-1455
Mailing address
323 E 2ND Ave Ste 201
Spokane, WA 99202-1455
Phone (509) 418-4484
Other names 1
- Ms. Taneisha Cortney McCoy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2024 through Jan 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61502070 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lycan Counseling, PLLC | Mental Health | Past | Accepting new patients |
| Columbacare Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lycan Counseling Collective
- Mental Health Counselor
- Richland, WA
- NPI 1477025047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1548717655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 E 2ND AVE STE 201",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021455",
"telephone_number": "509-418-4484",
"fax_number": "509-381-3470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 E 2ND AVE STE 201",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021455",
"telephone_number": "509-418-4484",
"fax_number": "509-381-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYBBERT",
"first_name": "TANEISHA",
"middle_name": "CORTNEY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61502070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANEISHA",
"last_name": "MCCOY",
"middle_name": "CORTNEY",
"prefix": "MS.",
"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 Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.