Jennifer Adams
Individual provider Active NPI Peer Specialist · Spokane, WA
NPI 1912637620 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1912637620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- CG61318957 (WA)
- Practice address
- 107 S Division St
Spokane, WA 99202-1510 - Phone
- (509) 838-4651
- NPI assigned
- Jun 15, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG61318957 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG61318957 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Peer Specialist | 175T00000X | CG61318957 | WA | Yes |
Addresses
Primary practice location
107 S Division St
Spokane, WA 99202-1510
Mailing address
107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651
Other providers in Spokane, WA
- Emily Marie Adams
- Ethan Adams
- James Michael Adams
- Janel Adams
- Jennifer Adams
- Jessica Adams
- John Anthony Adams
- Kalob Adams
- Kelsi Lynn Adams
- Michael Robert Adams
All providers in Spokane, WA · Peer Specialist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.