Individual provider Active NPI

Jennie Rebecca Ammerman, LMHCA

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1609650704
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61439335 Issued in WA
Practice address
104 S. Freya St. Suite 320
White Flag Building
Spokane, WA 99202-3143
Phone
(512) 695-4405
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 61439335 WA Primary

Addresses

Primary practice location

104 S. Freya St. Suite 320
White Flag Building
Spokane, WA 99202-3143

Mailing address

104 S. Freya St. Suite 320, White Flag
Spokane, WA 99202-3143
Phone (512) 695-4405

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
61439335WAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1609650704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S. FREYA ST. SUITE 320, WHITE FLAG",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023143",
            "telephone_number": "512-695-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S. FREYA ST. SUITE 320",
            "address_2": "WHITE FLAG BUILDING",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992023143",
            "telephone_number": "512-695-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMERMAN",
        "first_name": "JENNIE",
        "middle_name": "REBECCA",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61439335",
            "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 Mar 7, 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.

Verify at the official NPI Registry.