Mirror Pond Therapy PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MIRROR POND THERAPY PLLC

Practice address

9017 E Euclid Ave Ste B
Spokane Valley, WA 99212-2049

Phone

(509) 903-5430

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Martina Coordes, LMHCNPI 1548938350

Title

Owner

Phone

(509) 903-5430

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martina Coordes, LMHC

  • Mental Health Counselor
  • Elk, WA
  • NPI 1548938350
  NPD Authorized official

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1720701063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "ELK",
            "state": "WA",
            "postal_code": "990090398",
            "telephone_number": "509-999-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 E EUCLID AVE STE B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992122049",
            "telephone_number": "509-903-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRROR POND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "COORDES",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-903-5430",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://coordescounseling.wixsite.com/mirror-pond-therapy",
            "affiliation": "N",
            "endpointDescription": "Direct connect",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9017 E Euclid Ave Ste B",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992122049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Miner
• Richard Salcido Miranda, CDPT
• Rosita L. F. Miranda, M.D., M,S., D.L.O
• Aidan Grace Mirick
• Mariya Miroshin
• Aaron G Misiuk, FNP
• Missing Piece Autism Services
• Frances May Mitchell
• Robin L Mitchell, MD
• Roger Mitchell, LD

• Community/Behavioral Health Agency in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.