Active NPI
Alexis Marie Prothe, LMHCA
- Mental Health Counselor
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC60986898
- Practice address
- 3919 N Maple St
Spokane, WA 99205 - Phone
- (509) 444-8200
- NPI assigned
- Feb 2, 2018
- Last updated
- Aug 31, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG60956828 | WA | |
| Mental Health Counselor | 101YM0800X | MC60986898 | WA | Primary |
Addresses
Primary practice location
3919 N Maple St
Spokane, WA 99205
Mailing address
611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888
Other practice location 1
210 W Sprague Ave
Spokane, WA 99201
Phone (509) 747-8224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60956828 | WA | MD | Mental Health Counselor |
| MC60986898 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients |
Locations
1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300
803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300
1720 2nd St
Cheney, WA 99004
Phone (207) 865-8002
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900
5620 S Regal St
Ste 11
Spokane, WA 99223
Phone (509) 340-1590
5901 N Lidgerwood St
Ste 223
Spokane, WA 99208
Phone (509) 489-4763
5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604
611 N Iron Bridge Way
Spokane, WA 99202
914 W Carlisle Ave
Spokane, WA 99205
Phone (509) 325-0393
1502 N Vercler Rd
Spokane Valley, WA 99216
Phone (509) 444-8204
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1407067317
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1801395074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 N IRON BRIDGE WAY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024932",
"telephone_number": "509-444-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3919 N MAPLE ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "99205",
"telephone_number": "509-444-8200"
}
],
"practiceLocations": [
{
"address_1": "210 W Sprague Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "99201",
"country_code": "US",
"telephone_number": "509-747-8224",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROTHE",
"first_name": "ALEXIS",
"middle_name": "MARIE",
"credential": "LMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-02",
"last_updated": "2021-08-31",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60956828",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC60986898",
"primary": true
}
],
"identifiers": [],
"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 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.