Individual provider Active NPI

Courtney Clark-Rivera Calaway, LICSW

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1740759935
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61658103 Issued in WA
Practice address
9921 N Nevada St
Spokane, WA 99218-1145
Phone
(509) 581-2690
NPI assigned
Nov 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 61658103 WA Primary

Addresses

Primary practice location

9921 N Nevada St
Spokane, WA 99218-1145

Mailing address

9921 N Nevada St
Spokane, WA 99218-1145
Phone (509) 581-2690

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
61658103WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brave Counseling Services Mental Health PastSince May 7, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1740759935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181145",
            "telephone_number": "509-581-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 N NEVADA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181145",
            "telephone_number": "509-581-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAWAY",
        "first_name": "COURTNEY",
        "middle_name": "CLARK-RIVERA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-16",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61658103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2025; 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.