Northeast Washington Family Counseling, P.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1026 Issued in WA

Legal business name

NORTHEAST WASHINGTON FAMILY COUNSELING, P.S.

Practice address

358 E Birch Ave
101
Colville, WA 99114-2762

Phone

(509) 684-3200

Fax

(509) 684-1908

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Clark D. Ashworth, PH.D.

Title

President/Psychologist

Phone

(509) 684-3200

Specialties & licenses 1

Addresses

Other names 1

• NEW Family Counseling Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 4

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

• Emily Juhl Danekas, LMFT

  • Marriage & Family Therapist
  • Colville, WA
  • NPI 1104382613
  Medicare reassignment NPD
• Rochelle Sundeen Diconti, LMHC, SUDP

  • Mental Health Counselor
  • Colville, WA
  • NPI 1053897694
  NPD (past)
• Ronald Graham

  • Mental Health Counselor
  • Colville, WA
  • NPI 1871945071
  NPD (past)
• John A Michaelson, M.S.

  • Mental Health Counselor
  • Colville, WA
  • NPI 1033550710
  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1932471653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E. BIRCH",
            "address_2": "101",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142762",
            "telephone_number": "509-684-3200",
            "fax_number": "509-684-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E BIRCH AVE",
            "address_2": "101",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142762",
            "telephone_number": "509-684-3200",
            "fax_number": "509-684-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST WASHINGTON FAMILY COUNSELING, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "ASHWORTH",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
        "authorized_official_telephone_number": "509-684-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW Family Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northeast Tri County Health District
• Northeast Tri County Health District
• Northeast Washington Alliance Counseling
• Northeast Washington Alliance Counseling Services
• Northeast Washington Alliance Counseling Services
• Northeastern Washington Eyecare
• Susan I Northway, RN
• Savannah C Nupp, CG
• Kelli S O'Connor
• Julie O'Neal

• Psychologist in Colville, WA
• Providers in Colville, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.