Individual provider Active NPI

Caitlin M Soriano, MA, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1568777902
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60043497 Issued in WA
Practice address
405 E Hartson Ave
Suite 8
Spokane, WA 99202-1343
Phone
(509) 624-0268
Fax
(509) 847-1117
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 LH 60043497 WA Primary

Addresses

Primary practice location

405 E Hartson Ave
Suite 8
Spokane, WA 99202-1343

Mailing address

405 E Hartson Ave Ste 8
Spokane, WA 99202-1329
Phone (509) 818-0140

Other identifiers 1

IdentifierTypeStateIssuer
2010039MedicaidWA

Other names 1

  • Caitlin M Shafer 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 Arts

State licenses

LicenseStateTypeSpecialty
LH 60043497WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Caitlin Soriano, LMHC, LLC CurrentSince Apr 20, 2021 Accepting new patients

Locations

405 E Hartson Ave
Ste 8
Spokane, WA 99202
Phone (509) 818-0140

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1568777902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E HARTSON AVE STE 8",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021329",
            "telephone_number": "509-818-0140",
            "fax_number": "509-495-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E HARTSON AVE",
            "address_2": "SUITE 8",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021343",
            "telephone_number": "509-624-0268",
            "fax_number": "509-847-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "CAITLIN",
        "middle_name": "M",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60043497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010039",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "SHAFER",
            "middle_name": "M",
            "credential": "MA, 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 25, 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.

Verify at the official NPI Registry.