Individual provider Active NPI

Dianne Estelle Brinker, MSW, LCSW, PH.D.

  • Mental Health Counselor
  • Christiansted, VI
National Provider Identifier
1427265305
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2-2027437-2007 Issued in VI
Practice address
1138 King St
Suite 206
Christiansted, VI 00820-4943
Phone
(340) 773-3443
NPI assigned
May 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2-2027437-2007 VI Primary

Addresses

Primary practice location

1138 King St
Suite 206
Christiansted, VI 00820-4943

Mailing address

1138 King St
Suite 206
Christiansted, VI 00820-4943
Phone (340) 773-3443

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2-2027437-2007VIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427265305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 KING ST",
            "address_2": "SUITE 206",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204943",
            "telephone_number": "340-773-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 KING ST",
            "address_2": "SUITE 206",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204943",
            "telephone_number": "340-773-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKER",
        "first_name": "DIANNE",
        "middle_name": "ESTELLE",
        "name_prefix": "Dr.",
        "credential": "MSW, LCSW, PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VI",
            "license": "2-2027437-2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.