Active NPI
Danielle Nicole Lingwall, MA, LPC
- Professional Counselor
- Portland, OR
National Provider Identifier
1821135591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C7220
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C7220 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| It'S Just Therapy, LLC | Mental Health | Current | 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.