JUNIOR EDMONDSON YOUTH MENTOR
NPI 1144952383
Counselor in Spokane, WA

Active since June 27, 2022
3910 W INDIAN TRAIL RD, SPOKANE, WA 99208(509) 559-3100 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Junior Edmondson Youth Mentor NPPES

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

JUNIOR EDMONDSON YOUTH MENTOR (NPI 1144952383) is an individual counselor in Spokane, Washington and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1144952383
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJUNIOR EDMONDSONCredential: YOUTH MENTOR
Location Address3910 W INDIAN TRAIL RDSpokane, WA 99208-4739
Mailing Address3754 W Indian Trail RdSpokane, WA 99208-4736 · (509) 559-3100
Sole ProprietorNo
Enumeration DateJune 27, 2022
NPPES CertifiedJune 27, 2022
NPI 1144952383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.

Also ListedPeer SpecialistTaxonomy 175T00000X
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.

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
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Junior Edmondson's NPI number?

The NPI number for Junior Edmondson is 1144952383. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Junior Edmondson located?

Junior Edmondson practices at 3910 W Indian Trail Rd, Spokane, WA 99208. The listed phone number is (509) 559-3100.

What is Junior Edmondson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Junior Edmondson was last updated on June 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.