Individual provider Active NPI

Cesar Augusto Bustamante, LMHCA

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1760154066
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61382679 Issued in WA
Practice address
3406 S Grand Blvd Apt 100
Spokane, WA 99203-2661
Phone
(509) 570-8264
NPI assigned
Oct 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 LH61382679 WA Primary

Addresses

Primary practice location

3406 S Grand Blvd Apt 100
Spokane, WA 99203-2661

Mailing address

3406 S Grand Blvd Apt 100
Spokane, WA 99203-2661
Phone (509) 570-8264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Youth and Family Counseling Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Greenleaf Psychology PastSince Oct 1, 2021 Accepting new patients

Locations

221 W Wynooche Ave
Unit B
Montesano, WA 98563
Phone (360) 280-4969

16000 Christensen Rd
Ste 200
Tukwila, WA 98188
Phone (833) 719-0886

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1760154066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 S GRAND BLVD APT 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032661",
            "telephone_number": "509-570-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 S GRAND BLVD APT 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032661",
            "telephone_number": "509-570-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE",
        "first_name": "CESAR",
        "middle_name": "AUGUSTO",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61382679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.