Individual provider Active NPI

Cassandra Nicole Nolan

  • Marriage & Family Therapist
  • Spokane, WA
National Provider Identifier
1689313785
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFTA.MG.61298775 Issued in WA
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.

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

LicenseStateTypeSpecialty
MFTA.MG.61298775WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parents and Children, PLLC CurrentSince Jun 12, 2022 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)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFTA.MG.61298775 WA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
MFTA.MG.61298775OtherWAWASHINGTON 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.

Verify at the official NPI Registry.