Organization Active NPI

Dakesa Pina, PHD: Counseling, Consulting, and Training, PLLC

  • Marriage & Family Therapist
  • Normal, IL
National Provider Identifier
1881440089
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DAKESA PINA, PHD: COUNSELING, CONSULTING, AND TRAINING, PLLC
Practice address
705 E Lincoln St Ste 116
Normal, IL 61761-6406
Phone
(309) 431-1442
Fax
(309) 753-0031
NPI assigned
Apr 29, 2024
Last updated
Apr 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Dr. Dakesa Pina, PHDNPI 1306989710
Title
Owner
Phone
(209) 432-1442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

705 E Lincoln St Ste 116
Normal, IL 61761-6406

Mailing address

705 E Lincoln St Ste 116
Normal, IL 61761-6406
Phone (309) 431-1442

National Provider Directory

National Provider Directory

Locations

705 E Lincoln St
Ste 116
Normal, IL 61761
Phone (309) 431-1442

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1881440089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E LINCOLN ST STE 116",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616406",
            "telephone_number": "309-431-1442",
            "fax_number": "309-753-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E LINCOLN ST STE 116",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616406",
            "telephone_number": "309-431-1442",
            "fax_number": "309-753-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKESA PINA, PHD: COUNSELING, CONSULTING, AND TRAINING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "PINA",
        "authorized_official_first_name": "DAKESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-432-1442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.