MS. MISTY RAE SOUTHALL LICSW, MHP, CPC
NPI 1487954145
Counselor - Mental Health in Spokane, WA

Active since October 28, 2010
312 W 8TH AVE, SPOKANE, WA 99204(714) 336-6596 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2020, Jan 23, 2019 (2 updates tracked since 2019).

About Ms. Misty Rae Southall Licsw, Mhp, Cpc NPPES

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

MS. MISTY RAE SOUTHALL LICSW, MHP, CPC (NPI 1487954145) is an individual mental health provider in Spokane, Washington, licensed in California (31849) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1487954145
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MISTY RAE SOUTHALLCredential: LICSW, MHP, CPC
Location Address312 W 8TH AVESpokane, WA 99204-2506
Mailing Address312 W 8th AveSpokane, WA 99204-2506 · (509) 477-4677
Sole ProprietorYes
Enumeration DateOctober 28, 2010
Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
NPI 1487954145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 31849
312 W 8TH AVE, Spokane, WA 99204

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 (Addiction (Substance Use Disorder))
312 W 8TH AVE
SPOKANE, WA 99204
Counselor (Mental Health)
312 W 8TH AVE
SPOKANE, WA 99204
Social Worker (Clinical)
312 W 8TH AVE
SPOKANE, WA 99204
Counselor (Addiction (Substance Use Disorder))
312 W 8TH AVE
SPOKANE, WA 99204
Counselor
312 W 8TH AVE
SPOKANE, WA 99204
Nurse Practitioner (Psychiatric/Mental Health)
312 W 8TH AVE
SPOKANE, WA 99204
Counselor (Addiction (Substance Use Disorder))
312 W 8TH AVE
SPOKANE, WA 99204
Counselor (Addiction (Substance Use Disorder))
312 W 8TH AVE
SPOKANE, WA 99204

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 Misty Southall's NPI number?

The NPI number for Misty Southall is 1487954145. It was assigned to this individual provider in the NPPES registry on October 28, 2010.

Where is Misty Southall located?

Misty Southall practices at 312 W 8th Ave, Spokane, WA 99204. The listed phone number is (714) 336-6596.

What is Misty Southall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Misty Southall was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.