MRS. DEANNA M FOFANOFF (NPI# 1154646412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154646412 |
| Entity Type | Individual |
| Full Name | MRS. DEANNA M FOFANOFF |
| Credential | LPC |
| Practice Address |
235 E Rowan Ave Ste 107 Spokane WA 99207-1240 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5092526446 |
| Practice Fax Number | 5092277070 |
| Mailing Telephone | 5092526446 |
| Mailing Fax Number | 5092277070 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC3697 | ID | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LH60142565 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2201 Ironwood Place, Ste 100, Coeur D Alene, ID 838142785 | 2087694222 | 2088077399 |
| Street Address |
235 E ROWAN AVE STE 107 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99207-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346484276 | Sara M Clark | Psychiatry & Neurology | 235 E Rowan Ave Ste 107, Spokane, WA 99207 | 2009-04-22 |
| 1366090110 | Rhiannon A Armstrong | Registered Nurse | 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 | 2019-08-26 |
| 1871089698 | Christopher Robin Carver | Social Worker | 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 | 2018-07-04 |
| 1013403955 | Kolbi Marie Peach | Social Worker | 235 E Rowan Ave Ste 107, Spokane, WA 99207 | 2018-07-03 |
| 1598208266 | Catherine Crompton Mcenderfer | Social Worker | 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 | 2016-11-29 |
| 1366992091 | Kiira M Tietjen | Nurse Practitioner | 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 | 2016-10-05 |
| 1124473087 | Laura Ann Berg | Social Worker | 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 | 2016-04-28 |
| 1124412937 | Heidi Anderson | Social Worker | 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 | 2015-03-19 |
| 1346550704 | Chelsie Lokelani Diaz | Social Worker | 235 E Rowan Ave Ste 107, Spokane, WA 99207-1240 | 2010-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437669231 | Rebecca Althouse | Massage Therapist | 59 E. Queen Ave. Suite 104, Spokane, WA 99207 | 2017-10-05 |
| 1891142105 | Kathleen Annette Love | Counselor | 2702 N. Perry, Spokane, WA 99207 | 2016-05-17 |
| 1184094831 | Rachel Robles | Massage Therapist | 514 E. Providence Ave, Spokane, WA 99207 | 2015-10-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1780936930 | Amber Elizabeth Riemersma | Midwife | 127 E Eculid, Spokane, WA 99207 | 2012-10-12 |
| 1376816108 | Michelle Christine Rees | Massage Therapist | 1504 E. Everett, Spokane, WA 99207 | 2012-02-09 |
| 1750658241 | Zita Lindell Nickeson | Counselor | 4407 N. Division Suite 304, Spokane, WA 99207 | 2011-11-28 |
| 1912282989 | Carolyn C Millen | Pharmacist | 12 E. Empire Ave, Spokane, WA 99207 | 2011-10-20 |
| 1316222730 | Brooke Pickering | Pharmacist | 12 E Empire, Spokane, WA 99207 | 2011-10-17 |
| 1891001277 | Providence Physician Services Co | Pediatrics | 5901 N Linderwood, Suite 126, Spokane, WA 99207 | 2010-08-24 |
| Find all providers in zip 99207 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376162537 | Northwest Sexual Counseling | Counselor | 1616 W Wellesley Ave Ste B, Spokane, WA 99205-1413 | 2020-04-08 |
| 1053940502 | Katherine Lizbeth Morris | Counselor | 101 W 8th Ave # 2e, Spokane, WA 99204-2307 | 2020-04-06 |
| 1144880428 | Lucy Lennox | Counselor | 4128 S Hatch St, Spokane, WA 99203-6244 | 2019-06-18 |
| 1265098990 | Browne's Addition Wellness Center | Counselor | 2013 W 4th Ave Apt 2, Spokane, WA 99201-6810 | 2019-05-17 |
| 1194088286 | Cory Michelle Standridge | Counselor | 1100 West Mallon, Spokane, WA 99260 | 2012-06-22 |
| 1265730626 | Janie Lee Rumberger | Counselor | 224 W Garden Ct, Spokane, WA 99208-8764 | 2011-03-09 |
| 1992025928 | Christopher Alan George | Counselor | 123 Hedge Apple, Spokane, MO 65754 | 2010-06-01 |
| 1528278652 | Cross Roads II Dba New Directions Outpatient | Counselor | 539 W Sharp Ave, Suite B, Spokane, WA 99201-2460 | 2007-05-24 |
| 1184225773 | Jan Mccormick | Counselor | 1404 E 11th Ave, Spokane, WA 99202-3502 | 2020-11-02 |
| 1194260406 | Sarah Lawley | Counselor | 2020 E 29th Ave Ste 200, Spokane, WA 99203-3948 | 2016-12-21 |
| Find all providers in SPOKANE | ||||
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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.