Individual provider Active NPI

Courtney Marie Mohr

  • Mental Health Counselor
  • East Wenatchee, WA
National Provider Identifier
1942701875
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60472027 Issued in WA
Practice address
220 Eastmont Ave Ste B
East Wenatchee, WA 98802-5306
Phone
(509) 885-9090
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 60472027 WA Primary

Addresses

Primary practice location

220 Eastmont Ave Ste B
East Wenatchee, WA 98802-5306

Mailing address

220 Eastmont Ave Ste B
East Wenatchee, WA 98802-5306
Phone (509) 885-9090

Other names 1

  • Courtney Taylor Professional name

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
60472027WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Health Current Accepting new patients

Locations

115 S Chelan Ave
Ste 302
Wenatchee, WA 98801

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": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1942701875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 EASTMONT AVE STE B",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025306",
            "telephone_number": "509-885-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EASTMONT AVE STE B",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025306",
            "telephone_number": "509-885-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHR",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60472027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "TAYLOR",
            "credential": "LMHCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.