MEDICARE: JODY FAY SWEENEY MS, LMHC, NCC, CSP

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	LH00007965	WA
2	101YM0800X	Mental Health Counselor	69882
3	103TS0200X	School Psychologist	420895E	WA
4	146N00000X	Basic Emergency Medical Technician	1167925	WA

General Provider Information

NPI Number	:	1306812169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODY FAY SWEENEY MS, LMHC, NCC, CSP

Provider Business Mailing Address
First Line	:	1124 W RIVERSIDE AVE
Second Line	:	SUITE 400
City	:	SPOKANE
State	:	WA
Zip	:	99201-1132
Country	:	US
Telephone Number	:	509-455-8819
Fax Number	:	509-455-8903

Provider Business Practice Location Address
First Line	:	1124 W RIVERSIDE AVE
Second Line	:	SUITE 400
City	:	SPOKANE
State	:	WA
Zip	:	99201-1132
Country	:	US
Telephone Number	:	509-455-8819
Fax Number	:	509-455-8903

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	09/11/2025

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