Individual provider Active NPI

Jamie Ruth Dipino, MS, CDP

  • Mental Health Counselor
  • Tahuya, WA
National Provider Identifier
1528348182
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60637744 Issued in WA
Practice address
262 NE Kissin Tree LN
Tahuya, WA 98588-9703
Phone
(360) 633-6932
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60637744 WA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CP 00005121 WA

Addresses

Primary practice location

262 NE Kissin Tree LN
Tahuya, WA 98588-9703

Mailing address

262 NE Kissin Tree LN
Tahuya, WA 98588-9703
Phone (360) 633-6932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240910003069 WA Practitioner - Mental Health Counselor 8628518222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Street Clinic IncGroup PAC ID 5193612935, 8 clinicians

Practice addresses (Care Compare)

20174 Front St NE
Poulsbo, WA 98370-7445
Phone (360) 697-1141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
CP 00005121WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Front Street Clinic Inc CurrentSince Oct 18, 2024 Accepting new patients
Wandee J. Pryor, Psy.D., LLC Past Accepting new patients

Locations

20174 Front St NE
Poulsbo, WA 98370
Phone (360) 626-9034

2819 NW Kitsap Pl
Ste 2B
Silverdale, WA 98383
Phone (360) 689-4964

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1528348182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 NE KISSIN TREE LN",
            "city": "TAHUYA",
            "state": "WA",
            "postal_code": "985889703",
            "telephone_number": "360-633-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 NE KISSIN TREE LN",
            "city": "TAHUYA",
            "state": "WA",
            "postal_code": "985889703",
            "telephone_number": "360-633-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPINO",
        "first_name": "JAMIE",
        "middle_name": "RUTH",
        "credential": "MS, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60637744",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP 00005121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahuya, WA

Sources for this page

Verify at the official NPI Registry.