Rebecca Mitchell

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CG1176965 Issued in WA

Practice address

3754 W Indian Trail Rd
Spokane, WA 99208-4736

Phone

(509) 559-3100

Fax

(509) 328-7582

NPI assigned

Jun 15, 2020

Last updated

Mar 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Rebecca Derr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1891310868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 E SPRINGFIELD AVE STE H",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022954",
            "telephone_number": "509-999-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 W INDIAN TRAIL RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084736",
            "telephone_number": "509-559-3100",
            "fax_number": "509-328-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG1176965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DERR",
            "credential": "CARE COORDINATOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Anne Mitchell, MN
• Lionel Grant Mitchell, D.C
• Megan Mitchell
• Nathan Gregory Mitchell
• Nichole Jo Mitchell, CPC
• Robert Mitchell II, SUDP
• Shannon Eileen Mitchell, LICSW
• Thomas Taylor Mitchell, PH.D.
• Trevor Martin Mitchell
• Donika Olga Mithoug, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.