Active NPI
Tony Donato, MS, MFT, LPC
- Professional Counselor
- Coos Bay, OR
National Provider Identifier
1003933912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C1712
- Practice address
- 750 Tricia PL
Coos Bay, OR 97420-6803 - Phone
- (541) 404-9286
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C1712 | OR | Primary |
Addresses
Primary practice location
750 Tricia PL
Coos Bay, OR 97420-6803
Mailing address
PO Box 473
Coos Bay, OR 97420-0050
Phone (541) 404-9286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1712 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644019200000",
"number": "1003933912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 473",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974200050",
"telephone_number": "541-404-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 TRICIA PL",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974206803",
"telephone_number": "541-404-9286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONATO",
"first_name": "TONY",
"credential": "MS, MFT, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2022-02-05",
"certification_date": "2022-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C1712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.