Active NPI
Alaina Nicole Dettmer
- Mental Health Counselor
- Hillsboro, OR
National Provider Identifier
1740821586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 222 SE 8TH Ave Ste 212
Hillsboro, OR 97123-4218 - Phone
- (952) 500-1749
- NPI assigned
- Oct 2, 2019
- Last updated
- May 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
222 SE 8TH Ave Ste 212
Hillsboro, OR 97123-4218
Mailing address
1729 W Greentree Dr Ste 103
Tempe, AZ 85284-2712
Other practice location 1
1729 W Greentree Dr
Tempe, AZ 85284-2710
Phone (602) 666-5101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1740821586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 W GREENTREE DR STE 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SE 8TH AVE STE 212",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234218",
"telephone_number": "952-500-1749"
}
],
"practiceLocations": [
{
"address_1": "1729 W Greentree Dr",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852842710",
"country_code": "US",
"telephone_number": "602-666-5101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DETTMER",
"first_name": "ALAINA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-02",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
- Dix C Densley, DDS
- Dental Professionals of Oregon, P.C. (Dental Care at Reed's Crossing)
- Dentistry for Children at Amberglen
- Joanna Miller Deshmukh, LPC, LMHC
- Chelsi Desjardins, LMT
- Sivaram Devanaboyina
- Daniel Martin Devaney
- Jacqueline M Devaney, FNP
- Aixa Yari Devarie Morales, DMD
- Cameo Marie Devault, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.