Active NPI
Dalis L Lagrotta
- Mental Health Counselor
- Sequim, WA
National Provider Identifier
1619266830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00011385
- Practice address
- 435 W Bell St Ste D
Sequim, WA 98382-2916 - Phone
- (360) 797-1429
- Fax
- (360) 477-4939
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 | LH00011385 | WA | Primary |
Addresses
Primary practice location
435 W Bell St Ste D
Sequim, WA 98382-2916
Mailing address
435 W Bell St Ste D
Sequim, WA 98382-2916
Phone (360) 797-1429
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 |
|---|---|---|---|
| LH00011385 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515628800000",
"number": "1619266830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 W BELL ST STE D",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983822916",
"telephone_number": "360-797-1429",
"fax_number": "360-477-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 W BELL ST STE D",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983822916",
"telephone_number": "360-797-1429",
"fax_number": "360-477-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGROTTA",
"first_name": "DALIS",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2018-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00011385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sequim, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.