Individual provider Active NPI

Jessica Kaluza, LMHC

  • Mental Health Counselor
  • Nine Mile Falls, WA
National Provider Identifier
1710432893
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60831346 Issued in WA
Practice address
16914 N Tamarac LN
Nine Mile Falls, WA 99026-9478
Phone
(509) 688-4844
NPI assigned
Aug 18, 2016
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60831346 WA Primary

Addresses

Primary practice location

16914 N Tamarac LN
Nine Mile Falls, WA 99026-9478

Mailing address

207 W Nora Ave
Spokane, WA 99205-4848
Phone (509) 688-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 15, 2024 through Apr 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60831346WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Kaluza LLC CurrentSince May 24, 2020 Accepting new patients

Locations

207 W Nora Ave
Spokane, WA 99205
Phone (509) 443-4565

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1710432893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W NORA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992054848",
            "telephone_number": "509-688-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16914 N TAMARAC LN",
            "city": "NINE MILE FALLS",
            "state": "WA",
            "postal_code": "990269478",
            "telephone_number": "509-688-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALUZA",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60831346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nine Mile Falls, WA

Sources for this page

Verify at the official NPI Registry.