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JOHNNA RAE WACHOLTZ
NPI 1861150245
Social Worker - Clinical in Spokane, WA

Active since December 02, 2021PECOS Enrolled
1124 W RIVERSIDE AVE STE LL2, SPOKANE, WA 99201(509) 994-4518 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnna Rae Wacholtz NPPES

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

JOHNNA RAE WACHOLTZ (NPI 1861150245) is an individual clinical provider in Spokane, Washington, licensed in Washington (SC61230425) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861150245
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJOHNNA RAE WACHOLTZ
Location Address1124 W RIVERSIDE AVE STE LL2Spokane, WA 99201-1132
Mailing Address1124 W Riverside Ave # Ll2Spokane, WA 99201-1132 · (509) 994-4518
Phone(509) 994-4518
Sole ProprietorYes
Enumeration DateDecember 2, 2021
NPPES CertifiedDecember 2, 2021
✔ NPI 1861150245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · SC61230425
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.
1124 W RIVERSIDE AVE STE LL2, Spokane, WA 99201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnna Rae Wacholtz 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.

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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET J LAUZON M.A.
Counselor (Mental Health)
1124 W RIVERSIDE AVE STE LL2
SPOKANE, WA 99201
Spokane County (509) 455-8819
TAUNNIA MARIE BOCKMIER MSW, LICSW, CDP
Counselor (Mental Health)
1124 W RIVERSIDE AVE STE LL2
SPOKANE, WA 99201
Spokane County (509) 455-8819

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 Johnna Wacholtz's NPI number?

The NPI number for Johnna Wacholtz is 1861150245. It was assigned to this individual provider in the NPPES registry on December 2, 2021.

Where is Johnna Wacholtz located?

Johnna Wacholtz practices at 1124 W Riverside Ave Ste Ll2, Spokane, WA 99201. The listed phone number is (509) 994-4518.

What is Johnna Wacholtz's specialty?

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

Is Johnna Wacholtz enrolled in Medicare?

Yes. Johnna Wacholtz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnna Wacholtz was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.