Deana M Enebo-Short, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH00010999 Issued in WA

Practice address

5610 Kitsap Way
Suite 250
Bremerton, WA 98312-2292

Phone

(360) 990-5305

NPI assigned

Sep 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Deana M Enebo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 16, 2024 through Oct 16, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1871788653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983830657",
            "telephone_number": "360-990-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 KITSAP WAY",
            "address_2": "SUITE 250",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122292",
            "telephone_number": "360-990-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENEBO-SHORT",
        "first_name": "DEANA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANA",
            "last_name": "ENEBO",
            "middle_name": "M",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Michele Elowski, MSW
• Joanna V Emery, LMP
• Dana Elizabeth Emley
• Steven Peter Emmer, MSW
• Joseph Enderton
• Chelsea Engelhardt
• Michaela Engelhardt
• Alexandra Engstrom, PA-C
• Jeremy S Ennis, D.O
• Jessica Enyeart, MSOT, OTR/L

• Mental Health Counselor in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.