Individual provider Active NPI

Vincent Peter Dimone, L.P.C. , LMHC

  • Mental Health Counselor
  • Beaverton, OR
National Provider Identifier
1285847889
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1790 Issued in OR
Practice address
21487 SW Gregory Dr
Beaverton, OR 97006-6449
Phone
(503) 481-0374
Fax
(503) 297-7707
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 22066 AZ
Professional Counselor 101YP2500X C1790 OR
Mental Health Counselor 101YM0800X C1790 OR Primary
Mental Health Counselor 101YM0800X LH00011227 WA
Addiction (Substance Use Disorder) Counselor 101YA0400X CP60012185 WA

Addresses

Primary practice location

21487 SW Gregory Dr
Beaverton, OR 97006-6449

Mailing address

21487 SW Gregory Dr
Beaverton, OR 97006-6449
Phone (503) 481-0374

Other identifiers 3

IdentifierTypeStateIssuer
LH00011227OtherWALMHC
LPC22066OtherAZLPC
C1790OtherOROBLPCT- LPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260414001498 OR Practitioner - Mental Health Counselor 1153897558 Reassigns benefits to 1 organization
I20260414002143 AZ Practitioner - Mental Health Counselor 1153897558 Reassigns benefits to 1 organization
I20260429002881 WA Practitioner - Mental Health Counselor 1153897558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP60012185WAMDAddiction (Substance Use Disorder) Counselor
C1790ORMDMental Health Counselor
LH00011227WAMDMental Health Counselor
22066AZMDProfessional Counselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1285847889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21487 SW GREGORY DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066449",
            "telephone_number": "503-481-0374",
            "fax_number": "503-297-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21487 SW GREGORY DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066449",
            "telephone_number": "503-481-0374",
            "fax_number": "503-297-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMONE",
        "first_name": "VINCENT",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "L.P.C. ,  LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "22066",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C1790",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C1790",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011227",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60012185",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "LH00011227",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "LPC22066",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBLPCT- LPC",
            "identifier": "C1790",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.