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JACQUELINE MYERS MSW, SUDPT, MHP, CC
NPI 1619646189
Counselor - Mental Health in Spokane, WA

Active since September 08, 2021PECOS Enrolled
322 W NORTH RIVER DR, SPOKANE, WA 99201(509) 324-6464(509) 241-2056 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2025, Dec 16, 2021, Sep 8, 2021 (3 updates tracked since 2021).

About Jacqueline Myers Msw, Sudpt, Mhp, Cc NPPES

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

JACQUELINE MYERS MSW, SUDPT, MHP, CC (NPI 1619646189) is an individual mental health provider in Spokane, Washington, licensed in Washington (CL60831073) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1619646189
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MYERSCredential: MSW, SUDPT, MHP, CC
Location Address322 W NORTH RIVER DRSpokane, WA 99201-3208
Mailing Address3003 W Hoffman AveSpokane, WA 99205-1636
Phone(509) 324-6464
Fax(509) 241-2056
Sole ProprietorNo
Enumeration DateSeptember 8, 2021
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1619646189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · CL60831073
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO61253766 (WA)
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
322 W NORTH RIVER DR, Spokane, WA 99201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1105 W 3rd AveSpokane, WA 99201-3609 · Phone (509) 570-7250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Myers Msw, Sudpt, Mhp, Cc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Myers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
223 mi
Multi-Specialty
2930 MAPLE ST
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1386935351 (425) 261-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

EDWARD P. BROW M.D.
Family Medicine
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
GAVIN R VILANDER
Counselor (Mental Health)
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 241-2575
TIMOTHY J. MEYER M.D.
Family Medicine
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
KRISTIAN ENGHUSEN OMS IV
Family Medicine
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
DANIELLE VIDAL RIGGS ARNP
Nurse Practitioner (Family)
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
MARLENE J. SUSUMI O.D.
Optometrist
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
SCOTT B. GARLICK R. PH.
Pharmacist
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 324-6464
MR. DEREK HENNESSY PA-C
Physician Assistant
322 W NORTH RIVER DR
SPOKANE, WA 99201
Spokane County (509) 276-5005

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 Jacqueline Myers's NPI number?

The NPI number for Jacqueline Myers is 1619646189. It was assigned to this individual provider in the NPPES registry on September 8, 2021.

Where is Jacqueline Myers located?

Jacqueline Myers practices at 322 W North River Dr, Spokane, WA 99201. The listed phone number is (509) 324-6464.

What is Jacqueline Myers's specialty?

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

Is Jacqueline Myers enrolled in Medicare?

Yes. Jacqueline Myers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Myers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Myers reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Everett, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Myers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Myers was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.