Active NPI
Teresa Jill Clark
- Community/Behavioral Health Agency
- Spokane, WA
National Provider Identifier
1902179583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 404 W 15TH Ave
Spokane, WA 99203-2110 - Phone
- (509) 209-9664
- Fax
- (509) 747-0609
- NPI assigned
- Feb 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
404 W 15TH Ave
Spokane, WA 99203-2110
Mailing address
404 W 15TH Ave
Spokane, WA 99203-2110
Phone (509) 209-9664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Counseling Services, PLLC | Current | Accepting new patients |
Locations
404 W 15th Ave
Spokane, WA 99203
Phone (509) 209-9664
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Spokane, WA
- NPI 1669214524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777075200000",
"number": "1902179583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W 15TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992032110",
"telephone_number": "509-209-9664",
"fax_number": "509-919-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W 15TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992032110",
"telephone_number": "509-209-9664",
"fax_number": "509-747-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "TERESA",
"middle_name": "JILL",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-13",
"last_updated": "2026-04-25",
"certification_date": "2026-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"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 Apr 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.