Jediah A Main, MS, NCC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61456151 Issued in WA

Practice address

9708 N Nevada St Ste 205
Spokane, WA 99218-6012

Phone

(509) 466-0226

Fax

(844) 273-3042

NPI assigned

Mar 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Smart Therapy, LLC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1679982284
  NPD

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1639705197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021510",
            "telephone_number": "509-838-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 N NEVADA ST STE 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992186012",
            "telephone_number": "509-466-0226",
            "fax_number": "844-273-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIN",
        "first_name": "JEDIAH",
        "middle_name": "A",
        "credential": "MS, NCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61456151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lynn Mahoney
• Mickayla Risenmay Mahoney, LMHCA, MS, BA
• Tracy Audrey Mahoney, M.A., MSW
• Heavin Bortz Maier, OD
• Mitchell J.V. Maier, O.D.
• Kathryn Lynn Main, CCC-SLP
• Anthony David Maine Rouwhorst, LMT
• Jill Suzanne Maine, PSYD
• Orson A Maine
• Michael Jacks Mainer, M.D.

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.