Active NPI
Synergy Counseling LLC
- Social Worker
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- SYNERGY COUNSELING LLC
- Practice address
- 1124 W Riverside Ave # LL2
Spokane, WA 99201-1132 - Phone
- (509) 994-6232
- Fax
- (509) 323-1607
- NPI assigned
- Oct 16, 2018
- Last updated
- Dec 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Teddi Lou Greene, LICSW
- Title
- Owner/Provider
- Phone
- (509) 994-6232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | Primary |
Addresses
Primary practice location
1124 W Riverside Ave # LL2
Spokane, WA 99201-1132
Mailing address
1124 W Riverside Ave # LL2
Spokane, WA 99201-1132
Phone (509) 994-6232
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LW60291569 | Other | WA | STATE DEPARTMENT OF HEALTH LICENSE |
| 2103521 | Medicaid | WA |
Other names 1
- Synergy Counseling LLC Teddi L Greene Sole Mbr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1124 W Riverside Ave
Spokane, WA 99201
Phone (509) 455-8819
1124 W Riverside Ave
#2
Spokane, WA 99201
Phone (509) 455-8819
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Spokane, WA
- NPI 1245548981
-
- Clinical Social Worker
- Cheney, WA
- NPI 1770871428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544745600000",
"number": "1942776018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 W RIVERSIDE AVE # LL2",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992011132",
"telephone_number": "509-994-6232",
"fax_number": "509-323-1607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 W RIVERSIDE AVE # LL2",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992011132",
"telephone_number": "509-994-6232",
"fax_number": "509-323-1607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGY COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-16",
"last_updated": "2018-12-14",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "TEDDI",
"authorized_official_middle_name": "LOU",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "509-994-6232",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DEPARTMENT OF HEALTH LICENSE",
"identifier": "LW60291569",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2103521",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Counseling LLC Teddi L Greene Sole Mbr.",
"code": "5",
"type": "Other Name"
}
]
}
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 Dec 14, 2018; 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.