Individual provider Active NPI

John W Laughlin, PA, LMHC

  • Physician Assistant
  • Wenatchee, WA
National Provider Identifier
1689641896
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10000728 Issued in WA
Practice address
238 N Chelan Ave
Wenatchee, WA 98801-2105
Phone
(509) 587-6935
Fax
(509) 293-7728
NPI assigned
Mar 7, 2006
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 LH00006775 WA
Physician Assistant 363A00000X PA10000728 WA Primary

Addresses

Primary practice location

238 N Chelan Ave
Wenatchee, WA 98801-2105

Mailing address

PO Box 57
Chelan, WA 98816-0057
Phone (509) 682-4120

Other practice location 1

219 E. Johnson Ave
Chelan, WA 98816-0908
Phone (509) 682-2511

Other practice location 2

503 E Highland Ave
Chelan, WA 98816-8631
Phone (509) 682-3300

Other identifiers 1

IdentifierTypeStateIssuer
2149942MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070529000409 WA Practitioner - Physician Assistant 9830296755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
LH00006775WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1689641896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "CHELAN",
            "state": "WA",
            "postal_code": "988160057",
            "telephone_number": "509-682-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012105",
            "telephone_number": "509-587-6935",
            "fax_number": "509-293-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 E. Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "988160908",
            "country_code": "US",
            "telephone_number": "509-682-2511",
            "fax_number": "509-682-9614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 E Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Chelan",
            "state": "WA",
            "postal_code": "988168631",
            "country_code": "US",
            "telephone_number": "509-682-3300",
            "fax_number": "509-682-9614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "PA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006775",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10000728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2149942",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

Verify at the official NPI Registry.