Organization Active NPI

Synergy Counseling LLC

  • Social Worker
  • Spokane, WA
National Provider Identifier
1942776018
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

Name
Ms. Teddi Lou Greene, LICSWNPI 1245548981
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LW60291569OtherWASTATE DEPARTMENT OF HEALTH LICENSE
2103521MedicaidWA

Other names 1

  • Synergy Counseling LLC Teddi L Greene Sole Mbr. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190129002570 WA Part B Supplier - Clinic/Group Practice 6901143981 Receives reassigned benefits from 1 practitioner
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.