Suzanne Bertholic-Liljenberg, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC60978464 Issued in WA

Practice address

11711 E Sprague Ave
Spokane Valley, WA 99206-6126

Phone

(509) 927-6838

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Suzanne Bertholic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1649031766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066126",
            "telephone_number": "509-927-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHOLIC-LILJENBERG",
        "first_name": "SUZANNE",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60978464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "BERTHOLIC",
            "credential": "LMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tristina Krakenberg Bermingham
• JB McGregor Bermudez-Koch, DMD DE61197009
• Erin Berry
• Kirsten Sunshine Berry
• Shona M Bertholf
• Tammy Lee Bertsch, CDPT
• Chad William Bess, D.C.
• Mark E Bestick, PT, CHT
• Kevin R Bichler, PA-C
• Laura Biem, L.AC. DIPL. OM

• Mental Health Counselor in Spokane Valley, WA
• Providers in Spokane Valley, 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 Jan 16, 2024; 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.