MEDICARE: KIAH SIEGEL LMHC, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH61018075	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13418	OTHER	CA	BOARD OF BEHAVIORAL SCIENCES
2	LH61018075	OTHER	WA	WASHINGTON STATE DEPARTMENT OF HEALTH

General Provider Information

NPI Number	:	1043698657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIAH SIEGEL LMHC, LPCC

Provider Business Mailing Address
First Line	:	9631 N NEVADA ST STE 311
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-3408
Country	:	US
Telephone Number	:	509-818-0648
Fax Number	:

Provider Business Practice Location Address
First Line	:	9921 N NEVADA ST STE 103
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-1145
Country	:	US
Telephone Number	:	509-955-0977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2015
Last Update Date	:	01/12/2026

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