Deena Jo Eastern, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00004456 Issued in WA

Practice address

5667 176TH PL SE
Bellevue, WA 98006-5936

Phone

(425) 941-1450

NPI assigned

Apr 26, 2019

Last updated

Apr 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Deena Jo Wagner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1578127312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5667 176TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065936",
            "telephone_number": "425-941-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5667 176TH PL SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065936",
            "telephone_number": "425-941-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERN",
        "first_name": "DEENA",
        "middle_name": "JO",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00004456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEENA",
            "last_name": "WAGNER",
            "middle_name": "JO",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Early Dawn Enterprises Inc. (Back in Action Chiropractic)
• Miranda Early
• Kristin Easter, PT
• Heather Easterly, DPT
• Eastern Scholar Acupuncture PLLC (Eastern Scholar Acupuncture)
• Eastgate Family Medicine
• Eastside Anxiety PLLC
• Eastside Behavioral Medicine
• Eastside Birth Center, PS
• Eastside Chiropractic Group a Professional Service Corporation

• Mental Health Counselor in Bellevue, WA
• Providers in Bellevue, 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 Apr 26, 2019; 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.