Dena Souza

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

340 NW 5TH St Ste 202
Redmond, OR 97756-1869

Phone

(541) 504-2218

NPI assigned

May 3, 2021

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

• Dena Souza Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• All Care Treatment Center

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1679427553
  NPD (past)
• Pfeifer & Associates

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1396877908
  NPD (past)

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1659954063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1710",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NW 5TH ST STE 202",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561869",
            "telephone_number": "541-504-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA",
        "first_name": "DENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "SOUZA",
            "credential": "CRM II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amberlee Avina Solito
• Joseph Sweeney Sontgerath, M.D.
• Michael James Sorensen, D.C.
• Nancy Sorlie, PHYSICAL THERAPIST
• South Sound Inpatient Physicians PLLC
• Samantha Spaciano, M.S., CCC-SLP
• Pamela Spencer
• Terri Leigh Squires, N.P.
• St. Charles Health System, Inc.
• St. Charles Health System, Inc.

• Peer Specialist in Redmond, OR
• Providers in Redmond, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.