Dustin Jindra

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61043137 Issued in WA

Practice address

402 E Yakima Ave Ste 447E
Yakima, WA 98901-5407

Phone

(509) 885-7374

NPI assigned

Aug 29, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Polaris Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yakima, WA
  • NPI 1982320941
  NPD Authorized official
• Joon Care Medical Corporation

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1073279907
  NPD (past)

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1972085736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E YAKIMA AVE STE 447E",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989015407",
            "telephone_number": "509-885-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E YAKIMA AVE STE 447E",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989015407",
            "telephone_number": "509-885-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDRA",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61043137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenia E Jimenez
• Kristy Lee Jimenez, CB1201986
• Mirella Jimenez, CM61306007
• Nya Jimenez
• Shelcy Isabel Jimenez
• Farah JN Baptiste
• Candy Crain Joachims
• Joann Allison R.N.F.a.
• Darren Kent Joffs, PT
• John M Iasella DDS, Ms, PS (Yakima Valley Periodontics)

• Mental Health Counselor in Yakima, WA
• Providers in Yakima, 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 Feb 21, 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.