Tim Ledbetter, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60716398 Issued in WA

Practice address

319 S Cedar St
Spokane, WA 99201-7029

Phone

(509) 209-7429

Fax

(509) 210-4567

NPI assigned

Dec 1, 2017

Last updated

Dec 23, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Genesis Institute, Inc.

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1912091513
  NPD (past)
• SSPT Clinic

  • Occupational Therapist
  • Spokane, WA
  • NPI 1841735834
  NPD (past)
• Stepping Stones Pediatric Therapy

  • Pediatric Occupational Therapist
  • Spokane, WA
  • NPI 1427221761
  NPD (past)

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1780199513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N HOWARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012410",
            "telephone_number": "509-467-7913",
            "fax_number": "509-467-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S CEDAR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992017029",
            "telephone_number": "509-209-7429",
            "fax_number": "509-210-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "TIM",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-01",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60716398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Jane Leblanc, CO61662462
• Sophie Leblanc, MOTR/L
• Bryan Scott Lebo, DNP, ARNP, FNP
• Bronson Matthias Leclair, MD
• Safina Leclair, DDS
• Jena Leddon, MHP, LICSWA, CDPT
• Corliss Ledington, RN
• Genna Doll Ledrew, RN
• Hannah N Lee Hunter, DPT
• Alexander Yates Lee

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.