Individual provider Active NPI

Amy K Bruscoe, LMHC

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1912575697
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61174373 Issued in WI
Practice address
422 W Riverside Ave Ste 518
Spokane, WA 99201-0302
Phone
(509) 474-1976
Fax
(888) 741-7039
NPI assigned
Jun 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61174373 WA
Mental Health Counselor 101YM0800X LH61174373 WI Primary

Addresses

Primary practice location

422 W Riverside Ave Ste 518
Spokane, WA 99201-0302

Mailing address

6106 W Ridgecrest Dr
Spokane, WA 99208-9333
Phone (509) 868-8287

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

State licenses

LicenseStateTypeSpecialty
LH61174373WAMDMental Health Counselor
LH61174373WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Bruscoe, Inc. CurrentSince Oct 10, 2021 Accepting new patients

Locations

316 W Boone Ave
Ste 656
Spokane, WA 99201
Phone (509) 242-7200

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.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1912575697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6106 W RIDGECREST DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992089333",
            "telephone_number": "509-868-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W RIVERSIDE AVE STE 518",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010302",
            "telephone_number": "509-474-1976",
            "fax_number": "888-741-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSCOE",
        "first_name": "AMY",
        "middle_name": "K",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61174373",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "LH61174373",
            "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 Jun 17, 2021; 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.