Individual provider Active NPI

Sherrie St. Clair, LMHC, NCC, LBA, BCBA

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1730634064
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60971328 Issued in WA
Practice address
222 W Mission Ave Ste 245
Spokane, WA 99201-2345
Phone
(509) 590-0047
Fax
(509) 590-1437
NPI assigned
Aug 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BA60905377 WA
Mental Health Counselor 101YM0800X LH60971328 WA Primary

Addresses

Primary practice location

222 W Mission Ave Ste 245
Spokane, WA 99201-2345

Mailing address

6325 N Monroe St Unit 48699
Spokane, WA 99228-0359
Phone (509) 590-0047

Other practice location 1

222 W Mission Ave Ste 245
Spokane, WA 99201-2345
Phone (509) 590-0047

Other identifiers 2

IdentifierTypeStateIssuer
2130746MedicaidWA
2212556MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 24, 2024 through Jan 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LH60971328WAMDMental Health Counselor
BA60905377WAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives Behavior, PLLP Behavior Analyst CurrentSince Sep 1, 2022 Accepting new patients
New Perspectives Counseling, PLLC Mental Health CurrentSince Nov 1, 2019 Accepting new patients

Locations

6325 N Monroe St
Unit 48699
Spokane, WA 99228

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1730634064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 N MONROE ST UNIT 48699",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992280359",
            "telephone_number": "509-590-0047",
            "fax_number": "509-590-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MISSION AVE STE 245",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012345",
            "telephone_number": "509-590-0047",
            "fax_number": "509-590-1437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W Mission Ave Ste 245",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992012345",
            "country_code": "US",
            "telephone_number": "509-590-0047",
            "fax_number": "509-590-1437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. CLAIR",
        "first_name": "SHERRIE",
        "credential": "LMHC, NCC, LBA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60905377",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60971328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130746",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2212556",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.