Roberta Dueno

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004272 Issued in WA

Practice address

3781 Lytle Rd NE
Bainbridge Island, WA 98110-2208

Phone

(206) 842-8005

NPI assigned

Feb 15, 2017

Sex

Female

Sole proprietor

No

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.

• Eagle Harbor Health & Chiropractic

  • Chiropractor
  • Olympia, WA
  • NPI 1881964419
  NPD (past)

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1225577885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 LYTLE RD NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102208",
            "telephone_number": "206-842-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 LYTLE RD NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102208",
            "telephone_number": "206-842-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENO",
        "first_name": "ROBERTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00009799",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Jeremiah Aden DC PLLC
• Lisa S Dropp, M.D.
• Robert Drury, PH.D.
• Bryan C. Dryer, MD
• Sarah Elisabeth Dubitzky
• Trisia Rose Dumpit, APRN
• Keriann Dunning
• Emily Nicole Durban, DPT
• Eagle Harbor Chiropractic Inc.P.S.
• Eagle Harbor Family Medicine PLLC

• Mental Health Counselor in Bainbridge Island, WA
• Providers in Bainbridge Island, 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 Jan 26, 2021; 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.