Dawn Marie Ideker, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60305329 Issued in WA

Practice address

404 S 1St St
Suite 203
Mount Vernon, WA 98273-3866

Phone

(360) 770-5476

Fax

(360) 336-3270

NPI assigned

Nov 6, 2006

Last updated

Jun 28, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Skagit Behavioral Health

  • Counselor
  • Mount Vernon, WA
  • NPI 1568548121
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372377600000",
    "number": "1063581155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24230 NOOKACHAMP HILLS DR",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982749196",
            "telephone_number": "360-770-5476",
            "fax_number": "360-336-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S 1ST ST",
            "address_2": "SUITE 203",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733866",
            "telephone_number": "360-770-5476",
            "fax_number": "360-336-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDEKER",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60305329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Hyre
• Tiana Mieko Ibarra Yamamoto, DO
• Irene Guadalupe Ibarra
• Tabita G Ibarra
• Ideal Option, PLLC
• Antonio Ignacio-de Dios
• Maalik Imtiaz
• Tara Lynn Ingrum, LMP
• Integrated Rehabilitation Group, PC (Northwest Sport & Spine Physical Therapy- Mount Vernon)
• Integrated Rehabilitation Group, PC (IRG Hand Therapy Mount Vernon)

• Mental Health Counselor in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.