Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174683387 Deactivated / Inactive NPI Female Practitioner

Dianna Lee Bertout , LCP

Counselor - Professional • Gilbert, AZ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dianna Bertout has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 11, 2006
NPI Deactivation Date July 19, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dianna Bertout, LCP was a registered Counselor - Professional practicing in Gilbert, AZ. Throughout an active medical career spanning 17 years, Dianna Bertout provided care at the practice location at 2915 E BASELINE RD STE 101 until profile deactivation on 2023-07-19.

Practice Location & Contact Primary Location

Practice Address

2915 E Baseline Rd Ste 101

Gilbert, AZ 852342427

Telephone 4807760626
Associated Practice Facility / Clinic
🏢 Innovative Primary Care Llc Facility NPI 1669437349

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Gilbert, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
131 Specialists

Practicing in Gilbert, AZ (3051 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC-10883

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1023225711

Doctor of Chiropractic

Jennifer Simpson , PA-C

Physician Assistant - Medical

NPI 1043560337

Physician Assistant (Certified)

Dr. Sandra Levitt , MD

Internal Medicine

NPI 1225224660

Doctor of Medicine (M.D.)

Kaley Bertrand , PA-C

Physician Assistant

NPI 1346912821

Physician Assistant (Certified)

Joan Lapointe-Kelto , PA-C

Physician Assistant

NPI 1477971273

Physician Assistant (Certified)

Mary Grosskopf , FNP-C

Nurse Practitioner - Primary Care

NPI 1508151507

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated July 19, 2023

Record deactivated on July 19, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2915 E BASELINE RD STE 101, GILBERT, AZ 852342427 (Tel: 4807760626)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2915 E BASELINE RD STE 101, GILBERT, AZ 852342427 (Tel: 4807760626)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DIANNA BERTOUT, LCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #LPC-10883 in AZ)

🟢
Initial NPI Registration & Enumeration December 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dianna Bertout. Be the first to share your experience!

Sign in to leave a review for Dianna Bertout

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174683387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2006
Last Update: July 08, 2007
Deactivation Date: July 19, 2023

Mailing Address

2915 E Baseline Rd Ste 101

Gilbert, AZ 852342427

Phone: 4807760626

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.