MS. DEIDRE GESTRIN


Address: 3975 Midway Drive, Baker City, OR 97814
Phone: 5415249070

MS. DEIDRE GESTRIN (NPI# 1811222680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811222680
Entity Type Individual
Full Name MS. DEIDRE GESTRIN
Credential LPC
Practice Address 3975 Midway Drive
Baker City
OR 97814
Mailing Address P.o. Box 1005
Baker City
OR 97814
Practice Telephone 5415249070
Practice Fax Number 5415249077
Mailing Telephone 5415237400
Mailing Fax Number 5415234927
Enumeration Date 2009-10-12
Last Update Date 2018-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
LPC-4435 ID Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
C3685 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500693827 05
ID 002803300 05

Office Location

Street Address 3975 MIDWAY DRIVE
City BAKER CITY
State OR
Zip Code 97814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578707998 Tammie R. Blessing Social Worker 3975 Midway Drive, Baker City, OR 97814 2009-04-29
1558988808 Dylan Joseph-edward Chaves Counselor 3975 Midway Drive, Baker City, OR 97814 2020-07-02
1962027532 Matthew Useda Counselor 3975 Midway Drive, Baker City, OR 97814-9781 2020-06-10
1265051726 Mae Lynn Corwin Counselor 3975 Midway Drive, Baker City, OR 97814 2020-04-14
1528691680 Michelle Lynn Dix Community Health Worker 3975 Midway Drive, Baker City, OR 97814 2020-02-18
1770144396 Ronda Kissire Counselor 3975 Midway Drive, Baker City, OR 97814 2019-06-25
1679134209 Marla Vivian Petrik Counselor 3975 Midway Drive, Baker City, OR 97814 2019-06-25
1841779741 Nancy Alexandra Johnson Counselor 3975 Midway Drive, Baker City, OR 97814 2018-08-10
1508319922 Gaylene Moyers Case Manager/Care Coordinator 3975 Midway Drive, Baker City, OR 97814-1005 2016-08-02
1558729350 Cynthia Flynn Counselor 3975 Midway Drive, Baker City, OR 97814 2016-02-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083279871 Charles Henry Campos Counselor 2021 Court Street, Baker City, OR 97814 2019-05-07
1831546217 Veronica Crowder Physician Assistant Samg Orthopedics Baker City, 3325 Pocahontas Rd, Baker City, OR 97814 2016-05-16
1013389956 Dara Michelle Fields Counselor 2200 4th Street, Baker City, OR 97814 2015-10-29
1003223694 Colleen Davenport Nurse Practitioner 3975 N Midway Dr, Baker City, OR 97814 2014-07-16
1629418363 Sherry Melena Zacharias Forsyth Counselor 2100 Main St., New Directions, Baker City, OR 97814 2013-06-26
1609215573 Logan Clay Frederickson Family Medicine 3820 17th Street, Baker City, OR 97814 2013-06-24
1790124485 James Lee Morris Counselor 3610 Midway, Baker City, OR 97814 2013-06-17
1881955656 New Directions Northwest, Inc Substance Abuse Rehabilitation Facility 3610 Midway Drive, Baker City, OR 97814 2012-06-07
1972864759 New Directions Northwest, Inc. Substance Abuse Rehabilitation Facility 3700 Midway Drive, Baker City, OR 97814 2012-06-07
1659671113 Al H Brickman Pharmacist 1205 Campbell St., Baker City, OR 97814 2010-10-29
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144526187 Margaret J Murphey Counselor 3990 Midway Dr, Baker City, OR 97814-1453 2011-02-09
1780801977 Marjorie Mae Lind Counselor 1408 Broadway St, Baker City, OR 97814-2821 2007-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326649005 Birgit Essl Counselor 925 Nw Wall St Ste 203, Bend, OR 97703-2052 2020-11-08
1063013373 Ruth Tessema Counselor 2120 Ne 166th Dr, Portland, OR 97230-5558 2020-11-03
1578161964 Joyful Living Behavioral Health Inc Counselor 107 W Q St, Springfield, OR 97477-2171 2020-10-16
1598362626 Ascension Counseling LLC Counselor 15 Sw Colorado Ave Ste 127, Bend, OR 97702-1229 2020-10-01
1902413297 Barbara Jenkins Jenkins Lehman Counselor 131 Nw Hawthorne Ave Ste 102, Bend, OR 97703-2957 2020-09-30
1326654021 Lori Michelle Severson Counselor 12250 Sw 2nd St Ste B-103, Beaverton, OR 97005-2828 2020-09-17
1063020691 Coastal Counseling & Consulting LLC Counselor 1638 N Coast Hwy, Newport, OR 97365-2357 2020-07-20
1326656240 Donald Marks Counselor 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 2020-07-16
1831707058 Toni Lynn Bellinger Counselor 14523 Westlake Dr # 2, Lake Oswego, OR 97035-7700 2020-07-14
1831717800 Marty Alan Michelson Counselor 609 Ne Baker St Ste 208, Mcminnville, OR 97128-4946 2020-07-07
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Competitor

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City BAKER CITY
Zip Code 97814

Improve Information

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Dataset Information

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.

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