Individual provider Active NPI

Taunnia Marie Bockmier, MSW, LICSW, CDP

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1710300041
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LW60888517 Issued in WA
Practice address
1124 W Riverside Ave Ste LL2
Spokane, WA 99201-1132
Phone
(509) 455-8819
Fax
(509) 455-8903
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60245820 WA
Mental Health Counselor 101YM0800X SC 60536652 WA
Clinical Social Worker 1041C0700X LW60888517 WA
Mental Health Counselor 101YM0800X LW60888517 WA Primary

Addresses

Primary practice location

1124 W Riverside Ave Ste LL2
Spokane, WA 99201-1132

Mailing address

1124 W Riverside Ave Ste LL2
Spokane, WA 99201-1132
Phone (509) 455-8819

Other names 1

  • Taunnia Marie Williams Other name

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
CP60245820WAMDAddiction (Substance Use Disorder) Counselor
SC 60536652WAMDMental Health Counselor
LW60888517WAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1710300041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 W RIVERSIDE AVE STE LL2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011132",
            "telephone_number": "509-455-8819",
            "fax_number": "509-455-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 W RIVERSIDE AVE STE LL2",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011132",
            "telephone_number": "509-455-8819",
            "fax_number": "509-455-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKMIER",
        "first_name": "TAUNNIA",
        "middle_name": "MARIE",
        "credential": "MSW, LICSW, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60245820",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC 60536652",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60888517",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LW60888517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAUNNIA",
            "last_name": "WILLIAMS",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 20, 2019; 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.