KOMAL KISHORE
NPI 1790505063
Social Worker - Clinical in Spokane, WA

Q: What is Komal Kishore's NPI number?

The NPI number for Komal Kishore is 1790505063. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Q: What is Komal Kishore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Komal Kishore was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 11, 2024PECOS EnrolledAccepts Medicare Assignment

100 N HOWARD ST STE W, SPOKANE, WA 99201(503) 688-4132 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2025, Oct 11, 2024 (2 updates tracked since 2024).

On this page

About Komal Kishore NPPES

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

KOMAL KISHORE (NPI 1790505063) is an individual clinical provider in Spokane, Washington, licensed in Washington (LW61683033) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790505063

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKOMAL KISHORE

Location Address100 N HOWARD ST STE WSpokane, WA 99201-0508

Mailing Address100 N Howard St Ste WSpokane, WA 99201-0508

Phone(503) 688-4132

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 11, 2024

Last NPPES UpdateJune 13, 20252 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1790505063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in WA · LW61683033✔ Licensed in WA · SC61327043

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

100 N HOWARD ST STE W, Spokane, WA 99201

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Komal Kishore is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385156116

PECOS Enrollment IDI20251201002739

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 Reassignments

Medicare enrollment records show Komal Kishore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mindful Therapy Group PC

229 mi

Clinical

6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043

Reassigned Medicare billing, Washington enrollment
777 clinicians in this Medicare group

NPI 1316238678 (425) 640-7009

Mccd Fl Psychiatry Services PA

2,237 mi

Psychiatry

1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207

Reassigned Medicare billing, Texas enrollment
240 clinicians in this Medicare group

NPI 1659003457 (833) 351-8255

Grow Healthcare Group PA

2,520 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Oregon, Texas and Washington enrollments
285 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JAMES JEWETT P-LMHC

Marriage & Family Therapist