NPIMap

Individual provider Active NPI

Carly Anne Dana, LPC

  • Professional Counselor
  • Redmond, OR
National Provider Identifier
1881202653
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19081 Issued in AZ
Practice address
7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone
(541) 904-5216
Fax
(541) 527-4347
NPI assigned
Jul 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C8977 OR
Professional Counselor 101YP2500X LPC-19081 AZ Primary

Addresses

Primary practice location

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216

Other practice location 1

2051 Evergreen Ln Ste B
Show Low, AZ 85901-7928
Phone (928) 537-6941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240116003288 AZ Practitioner - Mental Health Counselor 9739531617 Reassigns benefits to 1 organization
I20241109000255 OR Practitioner - Mental Health Counselor 9739531617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2450 S White Mountain Rd
Suite 3
Show Low, AZ 85901-7384
Phone (928) 985-1495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-19081AZMDProfessional Counselor
C8977ORMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Brightways Counseling Group LLC CurrentSince Oct 31, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 10, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 10, 2025 Accepting new patients
Phoenix Mental Health and Wellness PLLC CurrentSince Sep 6, 2025 Accepting new patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 27, 2025 Accepting new patients
Changepoint Integrated Health Past Accepting new patients
Third Space Therapy PLLC Past Accepting new patients
Changepoint Integrated PastSince Jul 1, 2020 Accepting new patients

Locations

7515 Falcon Crest Dr
Ste 200
Redmond, OR 97756
Phone (541) 693-4669

7515 Falcon Crest Dr
#200
Redmond, OR 97756

Interoperability endpoints

  • Direct secure messaging: carly.dana.1@28621.direct.athenahealth.com

Organizations & group practices 9

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": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1881202653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 Evergreen Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859017928",
            "country_code": "US",
            "telephone_number": "928-537-6941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANA",
        "first_name": "CARLY",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8977",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.