Individual provider Active NPI

Ronald James Eastman, MED LMHC CGP

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1619024148
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00004530 Issued in WA
Practice address
607 S Government Way
Spokane, WA 99224-1860
Phone
(509) 456-2190
Fax
(509) 456-7371
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2017

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 LH00004530 WA Primary

Addresses

Primary practice location

607 S Government Way
Spokane, WA 99224-1860

Mailing address

PO Box 14234
Spokane Valley, WA 99214-0234
Phone (509) 456-2190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226003828 WA Practitioner - Mental Health Counselor 6507201886 Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10103 N Division St
Suite 201
Spokane, WA 99218-1383
Phone (509) 456-2190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1619024148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14234",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992140234",
            "telephone_number": "509-456-2190",
            "fax_number": "509-456-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S GOVERNMENT WAY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992241860",
            "telephone_number": "509-456-2190",
            "fax_number": "509-456-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "RONALD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MED LMHC CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.