Deidre Gestrin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3685 Issued in OR

Practice address

3975 Midway Drive
Baker City, OR 97814

Phone

(541) 524-9070

Fax

(541) 524-9077

NPI assigned

Oct 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Directions Northwest, Inc

  • Community/Behavioral Health Agency
  • Baker City, OR
  • NPI 1235124462
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1811222680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1005",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "97814",
            "telephone_number": "541-523-7400",
            "fax_number": "541-523-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 MIDWAY DRIVE",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "97814",
            "telephone_number": "541-524-9070",
            "fax_number": "541-524-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESTRIN",
        "first_name": "DEIDRE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-4435",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002803300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500693827",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ranae Ganong, R.D.N.
• Valeda Chris Garside, M ED, LPC
• Tiara Fawn Geddes
• Julie Gentry
• Shaylin George
• Tia Gibbs
• Anthony James Given, Jr
• Gina Marie Glaubke, PA
• Ashley Gleckner
• Cassie Glerup, QMHA

• Professional Counselor in Baker City, OR
• Providers in Baker City, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.