Organization Active NPI

Lantz & Associates Counseling, LLC

  • Clinical Social Worker
  • Oak Harbor, WA
National Provider Identifier
1407388283
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW 60542552 Issued in WA
Legal business name
LANTZ & ASSOCIATES COUNSELING, LLC
Practice address
275 SE Cabot Dr
B206
Oak Harbor, WA 98277-3715
Phone
(360) 499-4535
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Nicole R Dipzinski, LICSWNPI 1063953396
Title
Owner
Phone
(360) 499-4535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW 60542552 WA Primary

Addresses

Primary practice location

275 SE Cabot Dr
B206
Oak Harbor, WA 98277-3715

Mailing address

1692 SW Waterside CT
Oak Harbor, WA 98277-7147
Phone (360) 499-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170530001019 WA Part B Supplier - Clinic/Group Practice 9739456567 Receives reassigned benefits from 2 practitioners
Practice locations: Oak Harbor, WA

National Provider Directory

National Provider Directory

Locations

275 SE Cabot Dr
Ste B206
Oak Harbor, WA 98277
Phone (360) 499-4535

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1407388283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 SW WATERSIDE CT",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982777147",
            "telephone_number": "360-499-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR",
            "address_2": "B206",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773715",
            "telephone_number": "360-499-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTZ & ASSOCIATES COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "DIPZINSKI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-499-4535",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60542552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.