Individual provider Active NPI

Danielle Nicole Lingwall, MA, LPC

  • Professional Counselor
  • Portland, OR
National Provider Identifier
1821135591
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C7220 Issued in OR
Practice address
12511 SW 68TH Ave Ste 100
Portland, OR 97223-8298
Phone
(503) 720-3276
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Adult Companion 372600000X
Professional Counselor 101YP2500X C7220 OR Primary

Addresses

Primary practice location

12511 SW 68TH Ave Ste 100
Portland, OR 97223-8298

Mailing address

12511 SW 68TH Ave Ste 100
Portland, OR 97223-8298
Phone (541) 390-8045

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
C7220ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
It'S Just Therapy, LLC Mental Health CurrentSince Jan 8, 2023 Accepting new patients

Locations

12511 SW 68th Ave
Ste 100
Portland, OR 97223
Phone (503) 719-2420

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1821135591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12511 SW 68TH AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238298",
            "telephone_number": "541-390-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12511 SW 68TH AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238298",
            "telephone_number": "503-720-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINGWALL",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C7220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.