Active NPI
Mariah Johnson
- Mental Health Counselor
- Spokane, WA
National Provider Identifier
1619603875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 61339981
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61339981 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charmed Counseling | Current | Accepting new patients | |
| Charmed Counseling PLLC | Current | 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.
-
- Clinical Social Worker
- Spokane, WA
- NPI 1972474021
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spokane, WA
- NPI 1790298610
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.