Individual provider Active NPI

Danesha Deloatch, LMFT

  • Marriage & Family Therapist
  • Anacortes, WA
National Provider Identifier
1932707890
Registry record updated Dec 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF61003138 Issued in WA
Practice address
1004 Commercial Ave # 2024
Anacortes, WA 98221-4117
Phone
(360) 287-4085
NPI assigned
Oct 13, 2020
Last updated
Dec 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT001633 GA
Marriage & Family Therapist 106H00000X LF61003138 WA Primary

Addresses

Primary practice location

1004 Commercial Ave # 2024
Anacortes, WA 98221-4117

Mailing address

1004 Commercial Ave # 2024
Anacortes, WA 98221-4117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT001633GAMDMarriage & Family Therapist
LF61003138WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1932707890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 COMMERCIAL AVE # 2024",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 COMMERCIAL AVE # 2024",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214117",
            "telephone_number": "360-287-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOATCH",
        "first_name": "DANESHA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001633",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF61003138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.