Individual provider Active NPI

Christine Lynn Bellavita, B.S. QMHA

  • Counselor
  • Lincoln City, OR
National Provider Identifier
1750582011
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2015 NW 39TH St
Suite 101
Lincoln City, OR 97367-4824
Phone
(541) 961-6114
Fax
(541) 994-3824
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2015 NW 39TH St
Suite 101
Lincoln City, OR 97367-4824

Mailing address

2015 NW 39TH St Ste 101
Lincoln City, OR 97367-4822
Phone (541) 961-6114

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
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750582011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 NW 39TH ST STE 101",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674822",
            "telephone_number": "541-961-6114",
            "fax_number": "541-994-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 NW 39TH ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973674824",
            "telephone_number": "541-961-6114",
            "fax_number": "541-994-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAVITA",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "B.S. QMHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.