Anthony Dicenzo, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1029 Issued in OR

Practice address

946 SW Veterans Way Ste 102
Redmond, OR 97756-2745

Phone

(619) 300-5224

Fax

(619) 300-5224

NPI assigned

Nov 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Therapy Talks, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prineville, OR
  • NPI 1912547696
  NPD (past)

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1104160050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 SW VETERANS WAY STE 102",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562745",
            "telephone_number": "619-300-5224",
            "fax_number": "619-300-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 SW VETERANS WAY STE 102",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562745",
            "telephone_number": "619-300-5224",
            "fax_number": "619-300-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICENZO",
        "first_name": "ANTHONY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41926",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deschutes Laser Therapy. LLC
• Desert Bone & Joint Specialists LLP
• Desert Peaks Health Care, LLC
• James K Detwiler, MD
• Derek Devol
• Discover Chiropractic Redmond
• Lester Jonathan Dixon, MD
• Steven Dobson
• Sean Dodge, PSY.D.
• Ashton Elizabeth Dodson-Lupton, RN

• Marriage & Family Therapist in Redmond, OR
• Providers in Redmond, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.