DANA S DEDOLPH (NPI# 1851671960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851671960 |
| Entity Type | Individual |
| Full Name | DANA S DEDOLPH |
| Credential | LPC |
| Practice Address |
100 39th St # 2b Astoria OR 97103-2499 |
| Practice Telephone | 5033252398 |
| Practice Fax Number | 5033255932 |
| Mailing Telephone | 5033252398 |
| Mailing Fax Number | 5033255932 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C1489 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | AGENCY NPI | 1710172802 | 01 |
| Street Address |
100 39TH ST # 2B |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-2499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706086 | Stephanie J Coleman | Counselor | Enable My Child, 3545 28 St, Astoria, NY 11106 | 2020-07-02 |
| 1609404698 | Julia Franklin | Counselor | 3089 38th St Apt 3n, Astoria, NY 11103-3672 | 2020-03-27 |
| 1548821499 | Kenneth H. Rislow | Counselor | 165 West Exchange, Astoria, OR 97103-1054 | 2019-06-21 |
| 1518439892 | Elizabeth Gordon | Counselor | 3076 38th St Apt 4d, Astoria, NY 11103-3857 | 2018-12-26 |
| 1578030607 | Sharmishtha Gupta | Counselor | 3272 Steinway St Fl 5, Astoria, NY 11103-4182 | 2018-10-26 |
| 1629550587 | Fallon Childs | Counselor | 2737 27th St Apt 1g, Astoria, NY 11102-2424 | 2018-09-06 |
| 1710432943 | Andrew Collins Vickery | Counselor | 813 Astoria Blvd, Astoria, NY 11102-4028 | 2016-08-17 |
| 1679738900 | Cindy Teresa Sinor | Counselor | 450 Marine Dr, Astoria, OR 97103-4248 | 2008-07-25 |
| 1336301621 | Shannon M Lilja | Counselor | 818 Commercial St Ste 305, (second Office In Beaverton, Oregon), Astoria, OR 97103-4553 | 2008-06-27 |
| 1972622504 | Steven J Powell | Counselor | 399 31st St Ste C, Astoria, OR 97103-2740 | 2007-03-28 |
| Find all providers in ASTORIA | ||||
Please comment or provide details below to improve the information on DANA S DEDOLPH.
| 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.