Dustina Renae Sallee, MASTER IN PSYCHOLOGY

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

200 Ferry St Ste B
Lafayette, IN 47901-1172

Phone

(317) 296-5332

NPI assigned

Nov 2, 2022

Last updated

Nov 2, 2022By the provider in NPPES

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

• Dustina Renae Sallee Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1932816535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FERRY ST STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011172",
            "telephone_number": "317-296-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FERRY ST STE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479011172",
            "telephone_number": "317-296-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEE",
        "first_name": "DUSTINA",
        "middle_name": "RENAE",
        "credential": "MASTER IN PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dustina@collaborativecarellc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Ferry St Ste B",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479011172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dustina@collaborativecarellc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Ferry St Ste B",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479011172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DUSTINA",
            "last_name": "SALLEE",
            "middle_name": "RENAE",
            "credential": "MASTER IN PSYCHOLOGY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sophia Salazar
• Jose G Salcedo Hernandez II, DDS
• Jill E Salem, PH.D., HSPP
• Jonathan O Sales, PTA
• George J Saliba, M.D.
• Lauren N. Sallese, NP
• Chloe Christina Salway, LAT, ATC
• Catherine Thyra Sam, MD
• Misty Kay Samman
• Edward M Sammons, D.D.S., M.S.D.

• Addiction (Substance Use Disorder) Counselor in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.