Individual provider Active NPI

Dawn Depasquale, MA, LMHC

  • Mental Health Counselor
  • Ooltewah, TN
National Provider Identifier
1770760159
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6468 Issued in MA
Practice address
6769 Stockham LN
Ooltewah, TN 37363-1422
Phone
(508) 379-3309
Fax
(508) 622-5690
NPI assigned
Jan 28, 2008
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC01353 RI
Mental Health Counselor 101YM0800X 6468 MA Primary
Mental Health Counselor 101YM0800X LPC016583 GA
Mental Health Counselor 101YM0800X 8637 TN

Addresses

Primary practice location

6769 Stockham LN
Ooltewah, TN 37363-1422

Mailing address

6769 Stockham LN
Ooltewah, TN 37363-1422
Phone (774) 955-7731

Other practice location 1

310 Wilbur Ave Ste 2
Swansea, MA 02777-2600
Phone (508) 379-3309

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
6468MAMDMental Health Counselor
MHC01353RIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1770760159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 STOCKHAM LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373631422",
            "telephone_number": "774-955-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6769 STOCKHAM LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373631422",
            "telephone_number": "508-379-3309",
            "fax_number": "508-622-5690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Wilbur Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "MA",
            "postal_code": "027772600",
            "country_code": "US",
            "telephone_number": "508-379-3309",
            "fax_number": "508-622-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPASQUALE",
        "first_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01353",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6468",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC016583",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "8637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.