MIKOLASY, LLC (NPI# 1497237457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497237457 |
| Entity Type | Organization |
| Organization Name | MIKOLASY, LLC |
| Other Organization Name | RETURN TO ROOTS THERAPY |
| Practice Address |
400 S Jefferson St Ste 451 Spokane WA 99204-3143 |
| Mailing Address |
Po Box 4231 Spokane WA 99220-0231 |
| Practice Telephone | 6196937576 |
| Mailing Telephone | 5092309722 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | RACHEL E MIKOLASY (OWNER/THERAPIST) |
| Authorized Official Telephone | 5092309722 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
60812427 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1235598046 | 05 |
| Other Name | Type Code |
|---|---|
| Return to Roots Therapy | Doing Business As Name - Organization |
| Street Address |
400 S JEFFERSON ST STE 451 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932561255 | Theresa Ann Flegal | Counselor | 400 S Jefferson St Ste 451, Spokane, WA 99204-3143 | 2016-03-25 |
| 1356886188 | Billie Tyler | Marriage & Family Therapist | 400 S Jefferson St Ste 451, Spokane, WA 99204-3143 | 2017-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962928143 | Discoveries Group and Individual Counseling Services, LLC | Clinic/Center | 1100 W 6th Ave Ste A, Spokane, WA 99204-3104 | 2017-08-18 |
| 1033651237 | Depth Psychology Services, LLC | Clinic/Center | 108 N Washington St Ste 408, Spokane, WA 99201 | 2016-11-06 |
| 1760568760 | Michael J Reznicek | Clinic/Center | 1717 S Rustle Rd, Suite 212a, Spokane, WA 99224-2065 | 2006-10-31 |
| 1194340679 | Little Bird Psychotherapy, P.s., Inc | Clinic/Center | 1325 W 1st Ave Ste 202, Spokane, WA 99201-4148 | 2020-06-10 |
| 1558835157 | Jacquelynn Kuhn Counseling & Consulting, Pllc | Clinic/Center | 701 W 7th Ave Ste 120, Spokane, WA 99204-2849 | 2019-01-16 |
| 1346695418 | Koru Counseling Inc | Clinic/Center | 7307 N Division St, Suite 311, Spokane, WA 99208-6545 | 2016-04-26 |
| 1861819799 | Aragon Mental Health, LLC | Clinic/Center | 140 S Arthur St, Suite 670, Spokane, WA 99202-2204 | 2014-03-28 |
| 1992129902 | Mary Kay Hall, Msw, LLC | Clinic/Center | 140 S Arthur St, Suite 660, Spokane, WA 99202-2204 | 2014-02-11 |
| 1598109407 | Spokane Addiction Recovery Centers | Clinic/Center | 520 S Walnut St, Spokane, WA 99204-3320 | 2013-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060085 | Vanessa Honn, Phd, Ps | Clinic/Center | 3819 N Madison St, Tacoma, WA 98407-5725 | 2020-10-16 |
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1629686498 | Wendy Becker Psychotherapy | Clinic/Center | 12685 Sapphire Lane South East, Olalla, WA 98359 | 2020-07-17 |
| 1154969384 | Freedom Services, Pllc | Clinic/Center | 17775 Se Mill Plain Blvd Apt 252, Vancouver, WA 98683-7559 | 2019-12-18 |
| 1265077846 | Buena Vida Counseling Pllc | Clinic/Center | 221 W Railroad Ave Ste 2, Shelton, WA 98584-3507 | 2019-11-07 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1225687544 | Lillie Mccatty, Lmhc | Clinic/Center | 203 4th Ave E Ste 307, Olympia, WA 98501-1188 | 2019-09-09 |
| 1306401278 | Christeen Deneui | Clinic/Center | 9518 49th Ave W Apt 15e, Mukilteo, WA 98275-3763 | 2019-05-07 |
| Find all providers with the same taxonomy | ||||
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| 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.