Active NPI
Cassandra Nicole Nolan
- Marriage & Family Therapist
- Spokane, WA
National Provider Identifier
1689313785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFTA.MG.61298775
- Practice address
- 104 S Freya St
Blue Flag Building, Suite 206
Spokane, WA 99202-4889 - Phone
- (208) 639-9148
- NPI assigned
- May 27, 2022
- Sex
- Female
- Sole proprietor
- No
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.
-
- Mental Health Counselor
- Spokane Valley, WA
- NPI 1376848010
-
- Marriage & Family Therapist
- Spokane, WA
- NPI 1053092726
Marriage & Family Therapist
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 |
|---|---|---|---|
| MFTA.MG.61298775 | WA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parents and Children, PLLC | Current | Accepting new patients | |
| Rooted in Hope Counseling, PLLC | Marriage & Family Therapist | Past | Accepting new patients |
Locations
721 N Pines Rd
Ste 102
Spokane Valley, WA 99206
Phone (509) 868-2237
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFTA.MG.61298775 | WA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
104 S Freya St
Blue Flag Building, Suite 206
Spokane, WA 99202-4889
Mailing address
17823 W Sheltered CT
Hauser, ID 83854-7818
Phone (209) 620-9998
Other practice location 1
721 N Pines Rd Ste 102
Spokane Valley, WA 99206-5225
Phone (509) 892-1100
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFTA.MG.61298775 | Other | WA | WASHINGTON DEPARTMENT OF HEALTH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2023.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1689313785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17823 W SHELTERED CT",
"city": "HAUSER",
"state": "ID",
"postal_code": "838547818",
"telephone_number": "209-620-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S FREYA ST",
"address_2": "BLUE FLAG BUILDING, SUITE 206",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024889",
"telephone_number": "208-639-9148"
}
],
"practiceLocations": [
{
"address_1": "721 N Pines Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992065225",
"country_code": "US",
"telephone_number": "509-892-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLAN",
"first_name": "CASSANDRA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2023-10-30",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MFTA.MG.61298775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON DEPARTMENT OF HEALTH",
"identifier": "MFTA.MG.61298775",
"state": "WA"
}
],
"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 Oct 30, 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.