Active NPI
John W Laughlin, PA, LMHC
- Physician Assistant
- Wenatchee, WA
National Provider Identifier
1689641896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10000728
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149942 | Medicaid | WI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070529000409 | WA | Practitioner - Physician Assistant | 9830296755 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00006775 | WA | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.