Active NPI
Debra Lynne, LPC
- Professional Counselor
- Rickreall, OR
National Provider Identifier
1437399102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C-1964
- Practice address
- 6750 McCoy Rd
Rickreall, OR 97371-9717 - Phone
- (541) 231-7897
- NPI assigned
- Feb 20, 2009
- Last updated
- Feb 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C-1964 | OR | Primary |
| Professional Counselor | 101YP2500X | 0089671 | NM |
Addresses
Primary practice location
6750 McCoy Rd
Rickreall, OR 97371-9717
Mailing address
6750 McCoy Rd
Rickreall, OR 97371-9717
Phone (541) 231-7897
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0089671 | NM | MD | Professional Counselor |
| C-1964 | OR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1437399102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 MCCOY RD",
"city": "RICKREALL",
"state": "OR",
"postal_code": "973719717",
"telephone_number": "541-231-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 MCCOY RD",
"city": "RICKREALL",
"state": "OR",
"postal_code": "973719717",
"telephone_number": "541-231-7897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNNE",
"first_name": "DEBRA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C-1964",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0089671",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rickreall, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.