Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427526276 Individual Practitioner Male Practitioner

Harold James Lundgren

Peer Specialist • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Harold Lundgren is a registered healthcare professional specializing in Peer Specialist in Spokane, WA. Practice services are available at 5901 N LIDGERWOOD ST STE 115 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5901 N Lidgerwood St Ste 115

Spokane, WA 992081122

Telephone 5098384651
Associated Practice Facility / Clinic
🏢 Frontier Behavioral Health Facility NPI 1861495327

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
335 Specialists

Practicing in Spokane, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-05
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG60531421

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License WA CG60531421

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2114445 (WA)

Secondary Practice Locations

124 E Short Ave

Spokane, WA 992021555

Phone: 5098384651

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jamie Wagley , BSN, RN

Registered Nurse

NPI 1003283896

Bachelor of Science in Nursing, Registered Nurse

NPI 1003288796

Master of Social Work

NPI 1003385568

AA, Registered Nurse

NPI 1003386236

Bachelor of Arts

Cheryl Brown

Peer Specialist

NPI 1003423138
Kimberly Mitchell , MN

Registered Nurse

NPI 1003451246

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 05, 2020

Registered at 5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 992081122 (Tel: 5098384651)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2018

Counselor (License #CG60531421 in WA)

NPI Profile Active November 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2018

Registered at 124 E SHORT AVE, SPOKANE, WA 992021555 (Tel: 5098384651)

📍
Updated Business Mailing Address November 09, 2018

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

👤
Provider Name / Credentials Updated November 09, 2018

Recorded as HAROLD LUNDGREN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2018

Student in an Organized Health Care Education/Training Program (License #CG60531421 in WA)

🟢
Initial NPI Registration & Enumeration November 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427526276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2018
Last Update: February 05, 2020
Sole Proprietor: Yes

Mailing Address

107 S Division St

Spokane, WA 992021510

Phone: 5098384651

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.