Active NPI
Elaine Kathryn Dinwiddie, LPC
- Professional Counselor
- Klamath Falls, OR
National Provider Identifier
1154794113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C5403
- Practice address
- 11800 Tingley LN Unit 6
Klamath Falls, OR 97603-9574 - Phone
- (541) 363-8817
- Fax
- (541) 205-5397
- NPI assigned
- Nov 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C5403 | OR | Primary |
Addresses
Primary practice location
11800 Tingley LN Unit 6
Klamath Falls, OR 97603-9574
Mailing address
11800 Tingley LN Unit 6
Klamath Falls, OR 97603-9574
Phone (541) 363-8817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500700365 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240724003950 | OR | Practitioner - Mental Health Counselor | 6002352150 | Practice locations: Klamath Falls, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Klamath Falls, OR 97603
Phone (541) 363-8817
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5403 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1154794113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 TINGLEY LN UNIT 6",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976039574",
"telephone_number": "541-363-8817",
"fax_number": "541-205-5397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 TINGLEY LN UNIT 6",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976039574",
"telephone_number": "541-363-8817",
"fax_number": "541-205-5397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINWIDDIE",
"first_name": "ELAINE",
"middle_name": "KATHRYN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-12",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C5403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500700365",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.