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Carl H Otholt , BSW

Counselor β€’ Spokane, WA

Active NPI 1689216244 Individual Practitioner Male Practitioner
Practice location in NPPES

711 E 3rd Ave
Spokane, WA 992022211

Call 8772661818 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

711 E 3rd Ave

Spokane, WA 992022211

Telephone 8772661818
Fax 5093632762
Organization at the Same NPPES Address or Phone
Northwest Health Systems Inc Facility NPI 1164472171

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Spokane and Washington

979 active clinicians are listed under Counselor with a practice address in Spokane, WA (11,352 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Spokane

0.1% of these 979 clinicians have the CMS telehealth indicator.

0.6% of these 979 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES WA CG61012444

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
Melissa Allman , MN, ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1104877406

MN, Advanced Registered Nurse Practitioner

Dr. Minerva Arrienda , MD

Psychiatry & Neurology - Psychiatry

NPI 1629071964

Doctor of Medicine (M.D.)

Dr. Melody Bemis , PhD, MSN, ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1992734073

Doctor of Philosophy (Ph.D.), Master of Science in Nursing, Advanced Registered Nurse Practitioner

Dr. William Bennett , MD

Psychiatry & Neurology - Psychiatry

NPI 1659374999

Doctor of Medicine (M.D.)

Cynthia Bolster , MSN, ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144648171

Master of Science in Nursing, Advanced Registered Nurse Practitioner

Dr. Donald Christman , MD

Psychiatry & Neurology - Psychiatry

NPI 1043433253

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2021

Counselor (license number reported to NPPES: WA CG61012444)

βœ…
NPI Profile Active October 15, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 15, 2019

Registered at 711 E 3RD AVE, SPOKANE, WA 992022211 (Tel: 8772661818)

πŸ“
Business Mailing Address (Initial Record) October 15, 2019

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

πŸ‘€
Provider Name / Credentials (Initial Record) October 15, 2019

Recorded as CARL OTHOLT, BSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 15, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689216244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2019
Last Update: April 06, 2021
Sole Proprietor: Yes

Mailing Address

107 S Division St

Spokane, WA 992021510

Phone: 5098384651

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.