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SAMUEL BACON
NPI 1821630229
Counselor in Spokane, WA

Active since October 17, 2019
107 S DIVISION ST, SPOKANE, WA 99202(509) 838-4651 Get Directions Write a Review

NPPES record last updated: December 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2022, Oct 17, 2019 (2 updates tracked since 2019).

About Samuel Bacon NPPES

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

SAMUEL BACON (NPI 1821630229) is an individual counselor in Spokane, Washington, licensed in Washington (CG61384091) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1821630229
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameSAMUEL BACON
Location Address107 S DIVISION STSpokane, WA 99202-1510
Mailing Address107 S Division StSpokane, WA 99202-1510
Phone(509) 838-4651
Sole ProprietorNo
Enumeration DateOctober 17, 2019
Last NPPES UpdateDecember 16, 20222 updates tracked since enumeration
NPPES CertifiedDecember 16, 2022
✔ NPI 1821630229 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 · CG61384091
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 ListedBehavior TechnicianTaxonomy 106S00000X
107 S DIVISION ST, Spokane, WA 99202
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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.

JAMIE ANN WAGLEY BSN, RN
Registered Nurse
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MICHAEL ROBERT SULLIVAN MSW
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MRS. EMMA ELIZABETH MANNHALT
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MRS. JACQUELINE CLARISSA HOWARD
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
CLAUDIA ELIZABETH MIMNA
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MR. JASON HALL MACKEY
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MELISSA RENEE WATSON
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
ALLAN D SANDERS MN ARNP
Nurse Practitioner (Family)
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651

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 Samuel Bacon's NPI number?

The NPI number for Samuel Bacon is 1821630229. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Samuel Bacon located?

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

What is Samuel Bacon'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 Samuel Bacon was last updated on December 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.