Individual provider Active NPI

Iain Gerard Crockett, LMHC, M.S

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1639570351
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC.LH.60763579 Issued in WA
Practice address
221 N Wall St Ste 202
Spokane, WA 99201-0822
Phone
(206) 910-9476
Fax
(253) 276-6624
NPI assigned
Sep 12, 2014
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC.LH.60763579 WA Primary
Mental Health Counselor 101YM0800X CG60493589 WA

Addresses

Primary practice location

221 N Wall St Ste 202
Spokane, WA 99201-0822

Mailing address

340 NE Maple St
Pullman, WA 99163-4120
Phone (509) 334-1133

Other practice location 1

340 NE Maple St
Pullman, WA 99163-4120
Phone (509) 334-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • 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
I20241118001518 WA Practitioner - Mental Health Counselor 6608300363 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CG60493589WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palouse River Counseling Center CurrentSince Sep 14, 2024 Accepting new patients

Locations

340 NE Maple St
Pullman, WA 99163
Phone (509) 334-1133

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1639570351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 NE MAPLE ST",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991634120",
            "telephone_number": "509-334-1133",
            "fax_number": "509-332-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N WALL ST STE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010822",
            "telephone_number": "206-910-9476",
            "fax_number": "253-276-6624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 NE Maple St",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991634120",
            "country_code": "US",
            "telephone_number": "509-334-1133",
            "fax_number": "509-332-1608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "IAIN",
        "middle_name": "GERARD",
        "credential": "LMHC, M.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-12",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHC.LH.60763579",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60493589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.