Annalisa J Decina, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C2553 Issued in OR

Practice address

1061 NE Avery St
Ste B
Newport, OR 97365-3038

Phone

(541) 264-6017

NPI assigned

Dec 13, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1700948361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 W OLIVE ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653720",
            "telephone_number": "541-264-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 NE AVERY ST",
            "address_2": "STE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653038",
            "telephone_number": "541-264-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECINA",
        "first_name": "ANNALISA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C2553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500673832",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Viets Davis, MD
• Valerie Jean Davis
• David Reid Davisworth II, QMHA
• Dawn Sly LCSW, Inc.
• Darcy De la Rosa, R.D., CDE
• Jenny Kathleen Deen, R.D.H.
• Peggy Defazio
• Amy Lynn Dempsey, CMA
• Cedar Jane Derischebourg, HARM REDUCTION, QMHP
• Zemene Abuhay Desta, MSW, QMHP

• Counselor in Newport, OR
• Providers in Newport, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.