Active NPI
Dia Lynn Capina Smith, CC
- Mental Health Counselor
- Lakewood, WA
National Provider Identifier
1447841655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CL60808001
- Practice address
- 5900 100TH St SW Ste 16
Lakewood, WA 98499-2749 - Phone
- (253) 625-5942
- NPI assigned
- Jan 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CL60808001 | WA | Primary |
Addresses
Primary practice location
5900 100TH St SW Ste 16
Lakewood, WA 98499-2749
Mailing address
1911 SW Campus Dr Ste 235
Federal Way, WA 98023-6473
Phone (253) 204-6762
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 |
|---|---|---|---|
| CL60808001 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611964800000",
"number": "1447841655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 SW CAMPUS DR STE 235",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980236473",
"telephone_number": "253-204-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 100TH ST SW STE 16",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992749",
"telephone_number": "253-625-5942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DIA LYNN",
"middle_name": "CAPINA",
"credential": "CC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-30",
"last_updated": "2021-01-30",
"certification_date": "2021-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CL60808001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.