Individual provider Active NPI

Joshua Scott Antles, LMHC, PA-C

  • Physician Assistant
  • Spokane Valley, WA
National Provider Identifier
1871020040
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61124921 Issued in WA
Practice address
10410 E 9TH Ave
Spokane Valley, WA 99206-3510
Phone
(509) 321-9050
NPI assigned
May 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LH60460265 WA
Mental Health Counselor 101YM0800X LH60460265 WA
Physician Assistant 363A00000X PA61124921 WA Primary

Addresses

Primary practice location

10410 E 9TH Ave
Spokane Valley, WA 99206-3510

Mailing address

6103 W Windriver Dr
Spokane, WA 99208-9018
Phone (509) 979-4790

Other practice location 1

14231 61st Ave SE
Everett, WA 98208-9303
Phone (509) 979-4790

Other practice location 2

2901 174th St NE
Marysville, WA 98271-4743
Phone (360) 454-1953

Other practice location 3

4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210112003054 WA Practitioner - Physician Assistant 8123431129 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
LH60460265WAMDCounselor

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871020040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6103 W WINDRIVER DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089018",
            "telephone_number": "509-979-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10410 E 9TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063510",
            "telephone_number": "509-321-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14231 61st Ave SE",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982089303",
            "country_code": "US",
            "telephone_number": "509-979-4790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 174th St NE",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982714743",
            "country_code": "US",
            "telephone_number": "360-454-1953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4311 11th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981056367",
            "country_code": "US",
            "telephone_number": "206-616-4001",
            "fax_number": "206-616-3889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTLES",
        "first_name": "JOSHUA",
        "middle_name": "SCOTT",
        "credential": "LMHC, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LH60460265",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60460265",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61124921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.