MR. MARK MILES ELMORE (LMHC) – Mental Health Counselor, NPI 1790055671

MR. MARK MILES ELMORE (LMHC) is a healthcare provider. based in Spokane valley, Washington. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. LH60387411 (WA). The NPI Number for MR. MARK MILES ELMORE (LMHC) is 1790055671

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK MILES ELMORE (LMHC)
NPI
1790055671
Phone
(509) 891-5900
Address
12B N UNIVERSITY RD
Enumeration Date
9 January 2012
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098915900
Graduation Year
2011 (15 years ago)
PAC ID
7517302730
Group Practice PAC ID
0345685566
Professional Enrollment ID
I20240309000776
Address ID
WA992065205SP12XXXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,452 MENTAL HEALTH COUNSELOR in WA

Provider Addresses for MR. MARK MILES ELMORE (LMHC)

  • 12B N UNIVERSITY RD

    SPOKANE VALLEY, WA 992065205

    Phone: (509) 891-5900

    Fax: (509) 232-6646

    Type: Mailing

  • 1120 N. PINES RD, SUITE C

    SPOKANE VALLEY, WA 99037

    Phone: (509) 891-5900

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240309000776IMental Health CounselorWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99206)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345685566View full group profile
NameSpecialtyState
Mental Health CounselorWA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. MARK MILES ELMORE (LMHC)?
NPI 1790055671 is assigned to MR. MARK MILES ELMORE (LMHC) under the national enumeration system.
Does this profile mean MR. MARK MILES ELMORE (LMHC) is currently active?
Yes — MR. MARK MILES ELMORE (LMHC) appears active in the national provider directory.
What kind of provider is MR. MARK MILES ELMORE (LMHC)?
The page reflects Mental Health Counselor for MR. MARK MILES ELMORE (LMHC). Clinical services aligned with this taxonomy classification.
Where does public data place MR. MARK MILES ELMORE (LMHC)?
The snapshot lists Spokane Valley, Washington for MR. MARK MILES ELMORE (LMHC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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