ALISA MICHELLE PEACOCK BS
NPI 1831757574
Counselor in Spokane, WA

Q: What is Alisa Peacock's NPI number?

The NPI number for Alisa Peacock is 1831757574. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Q: What is Alisa Peacock's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Alisa Peacock was last updated on April 5, 2021. 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.

Active since May 29, 2019

5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 99208(509) 838-4651(509) 363-2762 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2021, Aug 7, 2019, May 29, 2019 (3 updates tracked since 2019).

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About Alisa Michelle Peacock Bs NPPES

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

ALISA MICHELLE PEACOCK BS (NPI 1831757574) is an individual counselor in Spokane, Washington, licensed in Washington (CG60968873) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1831757574

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameALISA MICHELLE PEACOCKCredential: BS

Location Address5901 N LIDGERWOOD ST STE 115Spokane, WA 99208-1122

Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651

Phone(509) 838-4651

Fax(509) 363-2762

Sole ProprietorYes

Enumeration DateMay 29, 2019

Last NPPES UpdateApril 5, 20213 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1831757574 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 · CG60968873

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License CG60968873 (WA)

5901 N LIDGERWOOD ST STE 115, Spokane, WA 99208

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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.

MISS DANIELLE IRENE EDELEN I

Student in an Organized Health Care Education/Training Program