Dena Lynn Demello

Individual provider Active NPI Mental Health Counselor · Grants Pass, OR

NPI 1639714546 · NPPES record last updated Nov 14, 2019

Key facts

NPI
1639714546
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1644 Carnahan Dr
Grants Pass, OR 97527-4724
Phone
(541) 471-6363
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Options for Southern Oregon Past
since Nov 17, 2019
Accepting new patients
Options for Southern Oregon Past
since Nov 17, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1644 Carnahan Dr
Grants Pass, OR 97527-4724

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544
Phone (541) 476-2373

Other providers in Grants Pass, OR

All providers in Grants Pass, OR · Mental Health Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.