SAMANTHA NICHOLAS
NPI 1013668110
Counselor in Spokane, WA

Active since January 11, 2022
3910 W INDIAN TRAIL RD, SPOKANE, WA 99208(509) 559-3100 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Nicholas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA NICHOLAS (NPI 1013668110) is an individual counselor in Spokane, Washington, licensed in Washington (CG61251885) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1013668110
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSAMANTHA NICHOLAS
Location Address3910 W INDIAN TRAIL RDSpokane, WA 99208-4739
Mailing Address3754 W Indian Trail RdSpokane, WA 99208-4736 · (509) 559-3100
Sole ProprietorNo
Enumeration DateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
NPI 1013668110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · CG61251885
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3910 W INDIAN TRAIL RD, Spokane, WA 99208

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208
Behavior Technician
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208
Behavior Technician
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013668110, enumerated as an "individual" on January 11, 2022.

The provider is located at 3910 W INDIAN TRAIL RD SPOKANE, WA 99208 and the phone number is (509) 559-3100.

Counselor with taxonomy code 101Y00000X.