Optimize Wellness Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

OPTIMIZE WELLNESS COUNSELING LLC

Practice address

632 Anderson Ave Ofc L
Coos Bay, OR 97420-1632

Phone

(541) 297-5449

NPI assigned

Apr 12, 2023

Organization subpart

No

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

Authorized official

Name

Desiree Dixon, LCSWNPI 1588188643

Title

Licensed Clinical Social Worker

Phone

(541) 590-2498

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desiree Dixon

  • Clinical Social Worker
  • Coos Bay, OR
  • NPI 1588188643

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1073209102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 ANDERSON AVE OFC L",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201632",
            "telephone_number": "541-590-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 ANDERSON AVE OFC L",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201632",
            "telephone_number": "541-297-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIZE WELLNESS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "541-590-2498",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Ogle, LPC
• Susan G Olinger
• Jarrod Anthony Olsen, CRM
• Eduardo Erasto Santiago Ongkeko, M.D.
• Bhaskar Ongole, M.D
• Oregon Coast Mind and Body, LLC
• Oregon Coast Neurology Clinic
• Oregon Coast Spine Institute, LLC
• Oregon Coast Wound Center LLC
• Corrin Veronica Orrey, LMT

• Mental Health Counselor in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.