Active NPI
Dragonfly Wellness and Education Center
- Mental Health Counselor
- Chewelah, WA
National Provider Identifier
1073337440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DRAGONFLY WELLNESS AND EDUCATION CENTER
- Practice address
- 107 W Main Ave
Chewelah, WA 99109-9257 - Phone
- (509) 724-0221
- NPI assigned
- Nov 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sinay Butler
- Title
- Owner
- Phone
- (509) 724-0221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
107 W Main Ave
Chewelah, WA 99109-9257
Mailing address
4107 Pine View Way
Springdale, WA 99173-5005
Phone (509) 724-0221
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Colville, WA
- NPI 1487059283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731456000000",
"number": "1073337440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 PINE VIEW WAY",
"city": "SPRINGDALE",
"state": "WA",
"postal_code": "991735005",
"telephone_number": "509-724-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W MAIN AVE",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991099257",
"telephone_number": "509-724-0221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAGONFLY WELLNESS AND EDUCATION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "SINAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-724-0221"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chewelah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.