Active NPI
Dena Crosby, LPC, LMHP
- Mental Health Counselor
- Port Angeles, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60844330
- Practice address
- 118 E 8TH St
Port Angeles, WA 98362-6129 - Phone
- (360) 457-0431
- Fax
- (360) 457-0493
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LIMHP1019 | NE | |
| Mental Health Counselor | 101YM0800X | LH60844330 | WA | Primary |
Addresses
Primary practice location
118 E 8TH St
Port Angeles, WA 98362-6129
Mailing address
118 E 8TH St
Port Angeles, WA 98362-6129
Phone (360) 457-0431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025421700 | Medicaid | NE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LIMHP1019 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Behavioral Health | Current | Accepting new patients | |
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
Locations
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
118 E 8th St
Port Angeles, WA 98362
Phone (360) 457-0431
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/peninsulabehavioral/r4/
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Port Angeles, WA
- NPI 1760519060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1982759643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 E 8TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626129",
"telephone_number": "360-457-0431",
"fax_number": "360-457-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E 8TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983626129",
"telephone_number": "360-457-0431",
"fax_number": "360-457-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "DENA",
"credential": "LPC, LMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "LIMHP1019",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60844330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025421700",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.