Active NPI
Laura Elizabeth Rehwaldt, LMHC
- Mental Health Counselor
- Pullman, WA
National Provider Identifier
1548758626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 60169791
- Practice address
- 455 SW Staley Dr
Pullman, WA 99163-2030 - Phone
- (206) 910-7138
- NPI assigned
- Apr 25, 2018
- 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 | 60169791 | WA | Primary |
Addresses
Primary practice location
455 SW Staley Dr
Pullman, WA 99163-2030
Mailing address
455 SW Staley Dr
Pullman, WA 99163-2030
Phone (206) 910-7138
Other practice location 1
115 NW State St
Pullman, WA 99163-2616
Phone (206) 910-7138
Other practice location 2
115 NW State St
Pullman, WA 99163-2616
Phone (206) 910-7138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60169791. | Other | WA | DEPT. OF HEALTH |
Other names 1
- Laura Rehwaldt Beason
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60169791 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1548758626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 SW STALEY DR",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991632030",
"telephone_number": "206-910-7138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 SW STALEY DR",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991632030",
"telephone_number": "206-910-7138"
}
],
"practiceLocations": [
{
"address_1": "115 NW State St",
"address_purpose": "LOCATION",
"city": "Pullman",
"state": "WA",
"postal_code": "991632616",
"country_code": "US",
"telephone_number": "206-910-7138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 NW State St",
"address_purpose": "LOCATION",
"city": "Pullman",
"state": "WA",
"postal_code": "991632616",
"country_code": "US",
"telephone_number": "206-910-7138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REHWALDT",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "60169791",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF HEALTH",
"identifier": "60169791.",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "BEASON",
"middle_name": "REHWALDT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.