Individual provider Active NPI

Dawn Marie Bellingham, MAPC,LPC,CSAT,PLLC

  • Counselor
  • Peoria, AZ
National Provider Identifier
1770002040
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
15932-AZ Issued in AZ
Practice address
15396 N 83Rd Ave Ste G103
Peoria, AZ 85381-5629
Phone
(602) 888-3296
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 15932-AZ AZ Primary
School Counselor 101YS0200X LPC-15932 AZ
Marriage & Family Therapist 106H00000X LPC-15932 AZ
Mental Health Counselor 101YM0800X LPC-15932 AZ
Professional Counselor 101YP2500X LPC-15932 AZ
Addiction (Substance Use Disorder) Counselor 101YA0400X LPC-15932 AZ

Addresses

Primary practice location

15396 N 83Rd Ave Ste G103
Peoria, AZ 85381-5629

Mailing address

15396 N 83Rd Ave Ste G103
Peoria, AZ 85381-5629
Phone (602) 888-3296

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

State licenses

LicenseStateTypeSpecialty
15932-AZAZMDCounselor
LPC-15932AZMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace & Gratitude Counseling, PLLC Current Accepting new patients

Locations

15396 N 83rd Ave
Ste G103
Peoria, AZ 85381
Phone (602) 354-0259

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770002040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE G103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "602-888-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE G103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "602-888-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINGHAM",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "MAPC,LPC,CSAT,PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "15932-AZ",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "AZ",
            "license": "LPC-15932",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LPC-15932",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-15932",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15932",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LPC-15932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.