Mirilani Dale, LMFTA, LMHC, CMHS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

390 NE Midway Blvd Ste B203
Oak Harbor, WA 98277-2680

Phone

(360) 682-6167

Fax

(360) 682-6176

NPI assigned

May 13, 2016

Last updated

Jan 21, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Behavioral Health PLLCGroup PAC ID 3173098902, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lighthouse Behavioral Health PLLC

  dba Lighthouse Behavioral Health

  • Mental Health Counselor
  • Oak Harbor, WA
  • NPI 1306553896
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1982050498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE MIDWAY BLVD STE B203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772680",
            "telephone_number": "360-682-6167",
            "fax_number": "360-682-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE MIDWAY BLVD STE B203",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772680",
            "telephone_number": "360-682-6167",
            "fax_number": "360-682-6176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 NW 1st St",
            "address_purpose": "LOCATION",
            "city": "Coupeville",
            "state": "WA",
            "postal_code": "982393138",
            "country_code": "US",
            "telephone_number": "360-678-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALE",
        "first_name": "MIRILANI",
        "credential": "LMFTA, LMHC, CMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijah Curry
• Charles Curtis, DO
• Kayleigh Cyr, LPN
• Sarah Beatrice Czlapinski
• Lisa Suzanne Czubernat, NURSE
• Diana Rachael Dalton
• Tezra Damaso, DPT
• David James Damstra, M.D.
• Etepa Dane
• Daniel W. Klope, DC, PLLC (Klope Chiropractic)

• Mental Health Counselor in Oak Harbor, WA
• Providers in Oak Harbor, 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 Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.