NPIMap

Organization Active NPI

Charmed Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spokane, WA
National Provider Identifier
1790298610
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
60649635 Issued in WA
Legal business name
CHARMED COUNSELING PLLC
Practice address
5915 S Holly Rd
Spokane, WA 99224-9469
Phone
(509) 768-6852
Fax
(509) 232-5552
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Mrs. Joeleen Joyce Wilkinson, MSW, LICSW, MACNPI 1447686811
Title
Mental Health Counselor
Phone
(509) 768-6852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 60649635 WA Primary

Addresses

Primary practice location

5915 S Holly Rd
Spokane, WA 99224-9469

Mailing address

5915 S Holly Rd
Spokane, WA 99224-9469
Phone (509) 768-6852

Other practice location 1

400 S Jefferson St Ste 200
Spokane, WA 99204-3143
Phone (509) 768-6852

Other identifiers 1

IdentifierTypeStateIssuer
2088953MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251104001777 WA Part B Supplier - Clinic/Group Practice 7911415286 Receives reassigned benefits from 4 practitioners
Practice locations: Vancouver, WA; Spokane, WA

National Provider Directory

National Provider Directory

Locations

400 S Jefferson St
Ste 200
Spokane, WA 99204
Phone 5097686852 ext. 2

12500 SE 2nd Cir
Ste 140
Vancouver, WA 98684
Phone (509) 768-6852

13115 NE 4th St
Ste 110
Vancouver, WA 98684
Phone (503) 866-1812

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1790298610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 S HOLLY RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249469",
            "telephone_number": "509-768-6852",
            "fax_number": "509-232-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 S HOLLY RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992249469",
            "telephone_number": "509-768-6852",
            "fax_number": "509-232-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Jefferson St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992043143",
            "country_code": "US",
            "telephone_number": "509-768-6852",
            "fax_number": "509-232-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARMED COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "JOELEEN",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "509-768-6852",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LICSW, MAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "60649635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2088953",
            "state": "WA"
        }
    ],
    "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 Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.