JACK WYATT BEAM
NPI 1396406245
Counselor in Spokane, WA

Active since January 03, 2022
107 S DIVISION ST, SPOKANE, WA 99202(509) 838-4651 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2022, Jan 3, 2022 (2 updates tracked since 2022).

About Jack Wyatt Beam NPPES

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

JACK WYATT BEAM (NPI 1396406245) is an individual counselor in Spokane, Washington, licensed in Washington (CG61247132) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1396406245
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJACK WYATT BEAM
Location Address107 S DIVISION STSpokane, WA 99202-1510
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651
Sole ProprietorNo
Enumeration DateJanuary 3, 2022
Last NPPES UpdateMay 2, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
NPI 1396406245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in WA · CG61247132
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.

107 S DIVISION ST, Spokane, WA 99202

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.

Registered Nurse
107 S DIVISION ST
SPOKANE, WA 99202
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Nurse Practitioner (Family)
107 S DIVISION ST
SPOKANE, WA 99202

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 Jack Beam's NPI number?

The NPI number for Jack Beam is 1396406245. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Jack Beam located?

Jack Beam practices at 107 S Division St, Spokane, WA 99202. The listed phone number is (509) 838-4651.

What is Jack Beam'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 Jack Beam was last updated on May 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.