Active NPI
Evelyn Boahen, DOCTORATE
- Marriage & Family Therapist
- Spokane, WA
National Provider Identifier
1609567270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 61492041
- Practice address
- 100 N Howard St Ste 200
Spokane, WA 99201-0508 - Phone
- (561) 373-8452
- NPI assigned
- May 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 61492041 | WA | Primary |
Addresses
Primary practice location
100 N Howard St Ste 200
Spokane, WA 99201-0508
Mailing address
100 N Howard St Ste 200
Spokane, WA 99201-0508
Phone (561) 373-8452
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 |
|---|---|---|---|
| 61492041 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1609567270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE 200",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "561-373-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HOWARD ST STE 200",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992010508",
"telephone_number": "561-373-8452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOAHEN",
"first_name": "EVELYN",
"name_prefix": "Dr.",
"credential": "DOCTORATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-16",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "61492041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.