Individual provider Active NPI

David William Delimont, MA

  • Mental Health Counselor
  • Aberdeen, WA
National Provider Identifier
1043757065
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
60813144 Issued in WA
Practice address
2700 Simpson Avenue
Suite 101
Aberdeen, WA 98520
Phone
(360) 612-0012
Fax
(360) 532-0670
NPI assigned
Jan 28, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 60648083 WA
Mental Health Counselor 101YM0800X MC60637828 WA
Marriage & Family Therapist 106H00000X MG60648083 WA
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 60813144 WA Primary

Addresses

Primary practice location

2700 Simpson Avenue
Suite 101
Aberdeen, WA 98520

Mailing address

921 14TH Avenue
Longview, WA 98632
Phone (360) 423-0203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240229003797 WA Practitioner - Mental Health Counselor 7214372143 Reassigns benefits to 1 organization
Practice locations: Elma, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1182 Monte Elma Rd
Elma, WA 98541-9038
Phone (360) 464-9048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
60648083WAMDCounselor
60813144WAMDMental Health Counselor
MC60637828WAMDMental Health Counselor
MG60648083WAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard P. Brooks, Jr., Arnp, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Columbia Wellness Single Specialty PastSince Jan 1, 2024 Accepting new patients
Behavioral Counseling Associates PS Single Specialty PastSince Jan 1, 2024 Accepting new patients

Locations

804 Levee St
Hoquiam, WA 98550
Phone (360) 532-0060

1226 Carpenter Rd SE
Ste B3
Lacey, WA 98503
Phone (360) 491-2232

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1043757065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 14TH AVENUE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-423-0203",
            "fax_number": "360-577-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SIMPSON AVENUE",
            "address_2": "SUITE 101",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "98520",
            "telephone_number": "360-612-0012",
            "fax_number": "360-532-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIMONT",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-28",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "WA",
            "license": "60648083",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60637828",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60648083",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60813144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.