Linda Lou Dipietra

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

CG60193148 Issued in WA

Practice address

7415 NE 94TH Ave
Vancouver, WA 98662-3859

Phone

(360) 254-2365

NPI assigned

Jan 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1452902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452902400000",
    "number": "1629435045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13217 NE 59TH ST",
            "address_2": "103",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825312",
            "telephone_number": "360-254-2365"
        },
        {
            "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": "360-254-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPIETRA",
        "first_name": "LINDA",
        "middle_name": "LOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "WA",
            "license": "CG60193148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Mental Illness Community Based Residential Treatment Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2016; 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.