ERANDY TREJO MONTIEL


Address: 628 S Cowley St, Spokane, WA 99202-1377
Phone: 5094752806

ERANDY TREJO MONTIEL (NPI# 1215402441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215402441
Entity Type Individual
Full Name ERANDY TREJO MONTIEL
Practice Address 628 S Cowley St
Spokane
WA 99202-1377
Practice Telephone 5094752806
Mailing Telephone 5094752806
Enumeration Date 2018-10-03
Last Update Date 2019-02-06
NPI Deactivation Date 10/03/2018
NPI Reactivation Date 2019-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist CG60821694 WA Other Service Providers

Office Location

Street Address 628 S COWLEY ST
City SPOKANE
State WA
Zip Code 99202-1377

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073534228 Daybreak Youth Services Clinic/Center 628 S Cowley St, Spokane, WA 99202 2006-07-22
1245866037 Sheridan Sage Arntzen Counselor 628 S Cowley St, Spokane, WA 99202-1377 2020-03-12
1447899919 Sheenna Lee Mcadoo Counselor 628 S Cowley St, Spokane, WA 99202-1377 2020-01-02
1962057851 Julia Lillian Montiel Peer Specialist 628 S Cowley St, Spokane, WA 99202-1377 2019-08-07
1295392314 Sharon A Olson Peer Specialist 628 S Cowley St, Spokane, WA 99202-1377 2019-05-23
1346715976 Shawna Marie Usher Peer Specialist 628 S Cowley St, Spokane, WA 99202-1377 2018-10-10
1639644842 Daybreak Youth Services Peer Specialist 628 S Cowley St, Spokane, WA 99202-1377 2018-10-04
1790269884 Candace Judd Counselor 628 S Cowley St, Spokane, WA 99202-1377 2018-09-24
1659858462 Fabiola B Vidrios Counselor 628 S Cowley St, Spokane, WA 99202-1377 2018-07-24
1962921411 Crystal Jane Andrews Substance Abuse Rehabilitation Facility 628 S Cowley St, Spokane, WA 99202-1377 2017-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669099552 Morgan Physiotherapy, Pllc Physical Therapist 716 South Arthur Street, Spokane, WA 99202 2020-06-26
1659926863 Hiliary Beatty Marriage & Family Therapist 3101 E Boone Avenue, Spokane, WA 99202 2019-08-05
1992359301 Jennifer Pelzel Pharmacist Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 2019-07-25
1750858171 Elyse M Tullar Counselor 3101 E Boone Ave, Spokane, WA 99202 2018-10-24
1952830333 Kaleb E Walker Case Manager/Care Coordinator 1002 N Superior, Spokane, WA 99202 2017-06-08
1659823987 Laura Lenoue Chiropractor 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 2016-11-03
1376095141 Clinton George Ralph Counselor 624 S Cowley, Spokane, WA 99202 2016-10-27
1144772245 Megan Nicole Korst Counselor 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 2016-10-25
1043766652 Moffitt Children's Dentistry Dentist 520 S Cowley St Ste 101, Spokane, WA 99202 2016-09-01
1881147296 Natalie Stine Dietitian, Registered 203 E Spague Avenue, Spokane, WA 99202 2016-08-02
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043856123 Jayde Wailani Albright Peer Specialist 5920 N Calispel St, Spokane, WA 99205-6214 2019-11-23
1649732793 Marsha Rose Valenzuela Peer Specialist Partners With Families and Children, 1321 W. Broadway, Spokane, WA 99201 2019-04-05
1083199673 Kimberly Sue Williams Peer Specialist 4913 W Lamar Ave, Spokane, WA 99208-9131 2018-09-28
1619477031 Mark Todd Stucker Peer Specialist 12 E 5th Ave # 2253, Spokane, WA 99202-1309 2018-02-13
1306459813 Eva R Perez Peer Specialist 1700 S Assembly St Ste 300, Spokane, WA 99224-2116 2020-08-25
1255943627 Dylan Ramirez Peer Specialist 3754 W Indian Trail Rd, Spokane, WA 99208-4736 2020-08-18
1922626159 Chelsa Lene Mcdaniel Peer Specialist 2222 N Monroe St, Spokane, WA 99205-4545 2020-07-14
1295353415 David M Domreis Peer Specialist 2222 N Monroe St, Spokane, WA 99205-4545 2020-07-14
1386260313 Dom Demetrio Felxi Peer Specialist 2222 N Monroe St, Spokane, WA 99205-4545 2020-06-25
1457973166 Natalie J Willis Peer Specialist 2222 N Monroe St, Spokane, WA 99205-4545 2020-05-15
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Competitor

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City SPOKANE
Zip Code 99202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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