Individual provider Active NPI

Tory Shillaire Daniewicz, M.S.

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1750484788
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00008023 Issued in WA
Practice address
10103 N Division St
Suite 109
Spokane, WA 99218-1380
Phone
(509) 467-1156
Fax
(509) 468-0462
NPI assigned
Sep 6, 2006
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 LH00008023 WA Primary

Addresses

Primary practice location

10103 N Division St
Suite 109
Spokane, WA 99218-1380

Mailing address

10103 N Division St
Suite 109
Spokane, WA 99218-1380
Phone (509) 467-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 19, 2024 through Dec 19, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH00008023WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karen C Lindner PHD PS Past 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, 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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1750484788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 N DIVISION ST",
            "address_2": "SUITE 109",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181380",
            "telephone_number": "509-467-1156",
            "fax_number": "509-468-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 N DIVISION ST",
            "address_2": "SUITE 109",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181380",
            "telephone_number": "509-467-1156",
            "fax_number": "509-468-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEWICZ",
        "first_name": "TORY",
        "middle_name": "SHILLAIRE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00008023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.