Individual provider Active NPI

Rochelle Sundeen Diconti, LMHC, SUDP

  • Mental Health Counselor
  • Colville, WA
National Provider Identifier
1053897694
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61355373 Issued in WA
Practice address
110 S Main St
Colville, WA 99114-2406
Phone
(509) 903-5622
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP61173606 WA
Mental Health Counselor 101YM0800X LH61355373 WA Primary

Addresses

Primary practice location

110 S Main St
Colville, WA 99114-2406

Mailing address

110 S Main St
Colville, WA 99114-2406
Phone (509) 903-5622

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
I20240417001360 WA Practitioner - Mental Health Counselor 4587003009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP61173606WAMDAddiction (Substance Use Disorder) Counselor
LH61355373WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Camper Counseling Mental Health CurrentSince Jun 16, 2024 Accepting new patients
Mindful Therapy Group PC Mental Health CurrentSince Apr 8, 2024 Accepting new patients
Northeast Washington Family Counseling, P.S. PastSince Apr 12, 2017 Accepting new patients

Locations

110 S Main St
Colville, WA 99114
Phone (509) 684-3062

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1053897694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142406",
            "telephone_number": "509-903-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142406",
            "telephone_number": "509-903-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICONTI",
        "first_name": "ROCHELLE",
        "middle_name": "SUNDEEN",
        "credential": "LMHC, SUDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP61173606",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61355373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

Verify at the official NPI Registry.