ANTHONY DICENZO (NPI# 1104160050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104160050 |
| Entity Type | Individual |
| Full Name | ANTHONY DICENZO |
| Credential | LMFT |
| Practice Address |
946 Sw Veterans Way Ste 102 Redmond OR 97756-2745 |
| Practice Telephone | 6193005224 |
| Practice Fax Number | 6193005224 |
| Mailing Telephone | 6193005224 |
| Mailing Fax Number | 6193005224 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2019-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | T1029 | OR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFC41926 | CA | Behavioral Health & Social Service Providers |
| Street Address |
946 SW VETERANS WAY STE 102 |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099550 | Jared Utterback | Marriage & Family Therapist | 7515 Falcon Crest Dr Ste 200, Redmond, OR 97756-5014 | 2019-05-22 |
| 1174041594 | Melanie Liperi | Marriage & Family Therapist | 7432 245th Way Ne, Redmond, WA 98053-8687 | 2017-09-06 |
| 1013365576 | April Jones | Marriage & Family Therapist | 22500 Ne Marketplace Dr Ste 206a, Redmond, WA 98053-2033 | 2016-05-25 |
| 1093104085 | Melissa Haigh | Marriage & Family Therapist | 15965 Ne 85th St Ste 101, Redmond, WA 98052-3593 | 2015-01-14 |
| 1972912210 | Mary Donovan | Marriage & Family Therapist | 7345 164th Ave Ne, Ste I145 -1233, Redmond, WA 98052-9805 | 2014-08-12 |
| 1841613239 | Brenda Kinsman | Marriage & Family Therapist | 27915 Ne 26th St, Redmond, WA 98053-3116 | 2014-01-21 |
| 1376987909 | Leslie Bergman Savage | Marriage & Family Therapist | 17813 Ne 26th St, Redmond, WA 98052-5848 | 2013-04-25 |
| 1235443433 | Aimee White Heffernan | Marriage & Family Therapist | 16700 Ne 79th St Ste 103, Redmond, WA 98052-4465 | 2010-07-29 |
| 1730413782 | Jamie Gere | Marriage & Family Therapist | 7810 Brown St Ste 201, Redmond, WA 98052-4358 | 2009-09-23 |
| 1427381094 | Ksenia Kosobutsky | Marriage & Family Therapist | 20660 Ne 79th St, Redmond, WA 98053-7517 | 2009-09-14 |
| Find all providers in REDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.