Tim Ledbetter, LMHC
Individual provider Active NPI Mental Health Counselor · Spokane, WA
NPI 1780199513 · NPPES record last updated Dec 23, 2019
Key facts
- NPI
- 1780199513
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LH60716398 (WA)
- Practice address
- 319 S Cedar St
Spokane, WA 99201-7029 - Phone
- (509) 209-7429
- Fax
- (509) 210-4567
- NPI assigned
- Dec 1, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 14, 2024 through Jun 14, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60716398 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stones Pediatric Therapy | Past | Accepting new patients | |
| SSPT Clinic | Past | Accepting new patients | |
| Genesis Institute, Inc. | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60716398 | WA | Yes |
Addresses
Primary practice location
319 S Cedar St
Spokane, WA 99201-7029
Mailing address
1220 N Howard St
Spokane, WA 99201-2410
Phone (509) 467-7913
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH60716398 | Other | WA | WA DOH |
Other providers in Spokane, WA
- Charlotte Jane Leblanc
- Sophie Leblanc
- Bryan Scott Lebo
- Bronson Matthias Leclair
- Safina Leclair
- Jena Leddon
- Corliss Ledington
- Genna Doll Ledrew
- Hannah N Lee Hunter
- Alexander Yates Lee
All providers in Spokane, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.