Emily De Vine

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CG60284828 Issued in WA

Practice address

7415 NE 94TH Ave
Vancouver, WA 98662-3859

Phone

(360) 253-6019

NPI assigned

Mar 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Emily McCullough Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1447643432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986661337",
            "telephone_number": "360-253-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 NE 94TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986623859",
            "telephone_number": "360-253-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VINE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60284828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MCCULLOUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kiersten Jene De la Rocha
• Emily Kay De la Torre, MS, NCC, LMHC
• Margaret De la Vergne
• Susana De Lara Ortiz
• Alaire Kristine De Salvo
• Charve L Dean
• Jennifer Anne Dean, LCSW, CMHS
• Kelly S Dean, MPT
• Kierstyn Dean
• Brian Deane

• Mental Health Counselor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; 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.