Individual provider Active NPI

Michelle L Dippolito, LPCC

  • Mental Health Counselor
  • Banning, CA
National Provider Identifier
1326716606
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC19427 Issued in CA
Practice address
940 E Williams St Ste C
Banning, CA 92220-5848
Phone
(951) 588-2553
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC19427 CA Primary

Addresses

Primary practice location

940 E Williams St Ste C
Banning, CA 92220-5848

Mailing address

12514 7TH St
Yucaipa, CA 92399-2241
Phone (909) 816-3566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC19427CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Behavioral Health, Inc. CurrentSince Sep 5, 2021 Accepting new patients

Locations

940 E Williams St
Ste C
Banning, CA 92220
Phone (951) 588-2553

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1326716606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12514 7TH ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992241",
            "telephone_number": "909-816-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E WILLIAMS ST STE C",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922205848",
            "telephone_number": "951-588-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPPOLITO",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC19427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.