Individual provider Active NPI

Suzanne M Greenhall, MA, LMFTA, LMHCA

  • Marriage & Family Therapist
  • Spokane, WA
National Provider Identifier
1619624368
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MG61153592 Issued in WA
Practice address
2211 N Monroe St
Spokane, WA 99205-4546
Phone
(509) 868-8728
NPI assigned
Mar 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MG61153592 WA Primary

Addresses

Primary practice location

2211 N Monroe St
Spokane, WA 99205-4546

Mailing address

18802 W Buckboard Ave
Medical Lake, WA 99022-9719
Phone (509) 868-8728

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MG61153592WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1619624368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18802 W BUCKBOARD AVE",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990229719",
            "telephone_number": "509-868-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054546",
            "telephone_number": "509-868-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENHALL",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "MA, LMFTA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61153592",
            "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 3, 2022; 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.