Individual provider Active NPI

Jennifer S. Backlund, M.A.

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1750687745
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 00005883 Issued in WA
Practice address
705 W 7TH Ave
Suite 1-C
Spokane, WA 99204-2836
Phone
(509) 993-0961
NPI assigned
Feb 8, 2011
Last updated
Apr 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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 LH 00005883 WA Primary

Addresses

Primary practice location

705 W 7TH Ave
Suite 1-C
Spokane, WA 99204-2836

Mailing address

1936 E 23Rd Ave
Spokane, WA 99203-3802
Phone (509) 993-0961

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LH 00005883WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1750687745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 E 23RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033802",
            "telephone_number": "509-993-0961",
            "fax_number": "509-534-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W 7TH AVE",
            "address_2": "SUITE 1-C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042836",
            "telephone_number": "509-993-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKLUND",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 00005883",
            "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 10, 2012; 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.