Organization Active NPI

Ascend Network Corp

  • Psychiatry Physician
  • Spokane, WA
National Provider Identifier
1912496035
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ASCEND NETWORK CORP
Practice address
1312 N Monroe St Ste 271
Spokane, WA 99201-2623
Phone
(208) 718-2528
Fax
(509) 232-5547
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Terrese A Donnelly, MBA
Title
Owner
Phone
(208) 850-1886

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X WA
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X WA
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X WA Primary

Addresses

Primary practice location

1312 N Monroe St Ste 271
Spokane, WA 99201-2623

Mailing address

1312 N Monroe St Ste 271
Spokane, WA 99201-2623
Phone (208) 718-2528

Other practice location 1

3711 W Woodside
Spokane, WA 99208
Phone (208) 718-2528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201125000691 WA Part B Supplier - Clinic/Group Practice 2961813845 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

1028 W Rosewood Ave
Ste 100
Spokane, WA 99208
Phone (208) 718-2528

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1912496035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 N MONROE ST STE 271",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012623",
            "telephone_number": "208-718-2528",
            "fax_number": "509-232-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 N MONROE ST STE 271",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012623",
            "telephone_number": "208-718-2528",
            "fax_number": "509-232-5547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 W Woodside",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "99208",
            "country_code": "US",
            "telephone_number": "208-718-2528",
            "fax_number": "509-232-5547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASCEND NETWORK CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "TERRESE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-850-1886",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "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 Oct 16, 2024; 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.