Nathan Ainley
Individual provider Active NPI Mental Health Counselor · Spokane, WA
NPI 1790146751 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1790146751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LH60980802 (WA)
- Practice address
- 1700 S Assembly St
Spokane, WA 99224-2116 - Phone
- (509) 892-9241
- Fax
- (509) 892-9251
- NPI assigned
- Mar 17, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 4, 2024 through Mar 4, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60980802 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passages Family Support a Nonprofit Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60980802 | WA | Yes |
Addresses
Primary practice location
1700 S Assembly St
Spokane, WA 99224-2116
Mailing address
1002 N Superior St
Spokane, WA 99202-2059
Phone (509) 892-9241
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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 Mar 19, 2021. 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.