Individual provider Active NPI

Mariah Johnson

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1619603875
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61339981 Issued in WA
Practice address
400 S Jefferson St Ste 200
Spokane, WA 99204-3143
Phone
(509) 768-6852
NPI assigned
Jul 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 61339981 WA Primary

Addresses

Primary practice location

400 S Jefferson St Ste 200
Spokane, WA 99204-3143

Mailing address

12101 NE 28TH St # A01
Vancouver, WA 98682-7819

Other practice location 1

1601 E 4th Plain Blvd Bldg 17
Vancouver, WA 98661-3717
Phone (360) 397-8246

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
61339981WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Charmed Counseling CurrentSince Sep 14, 2025 Accepting new patients
Charmed Counseling PLLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

400 S Jefferson St
Ste 200
Spokane, WA 99204
Phone 5097686852 ext. 2

13115 NE 4th St
Ste 110
Vancouver, WA 98684
Phone (503) 866-1812

Organizations & group practices 2

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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1619603875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 NE 28TH ST # A01",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986827819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S JEFFERSON ST STE 200",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043143",
            "telephone_number": "509-768-6852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E 4th Plain Blvd Bldg 17",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986613717",
            "country_code": "US",
            "telephone_number": "360-397-8246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARIAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61339981",
            "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 Feb 6, 2023; 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.