Organization Active NPI

Pear Tree Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vancouver, WA
National Provider Identifier
1659890861
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PEAR TREE COUNSELING PLLC
Practice address
PO Box 822441
Vancouver, WA 98682-0053
Phone
(360) 612-2396
Fax
(360) 450-4426
NPI assigned
Sep 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Jennifer Dian Distefano, LMHCNPI 1790011856
Title
Owner/Counselor
Phone
(360) 612-2396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

PO Box 822441
Vancouver, WA 98682-0053

Mailing address

PO Box 822441
Vancouver, WA 98682-0053
Phone (360) 612-2396

Other names 1

  • Pear Tree Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

108 SE 124th Ave
Ste 22
Vancouver, WA 98684
Phone (360) 882-7603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1659890861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822441",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820053",
            "telephone_number": "360-612-2396",
            "fax_number": "360-450-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 822441",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986820053",
            "telephone_number": "360-612-2396",
            "fax_number": "360-450-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAR TREE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "DISTEFANO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DIAN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "360-612-2396",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pear Tree Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.