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Deactivated NPI 1477977619 Deactivated / Inactive NPI Male Practitioner

David Dippe

Counselor • Santa Rosa, CA

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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, David Dippe has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2014
NPI Deactivation Date April 05, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

David Dippe was a registered Counselor practicing in Santa Rosa, CA. Throughout an active medical career spanning 9 years, David Dippe provided care at the practice location at 341 IRWIN LN until profile deactivation on 2023-04-05.

Practice Location & Contact Primary Location

Practice Address

341 Irwin Ln

Santa Rosa, CA 954015603

Telephone 7073601511
Associated Practice Facility / Clinic
🏢 Victor Treatment Center Facility NPI 1174965214

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Santa Rosa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
148 Specialists

Practicing in Santa Rosa, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% 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 Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

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

6 Associated Practitioners
Robert Loeper , MFTI

Marriage & Family Therapist

NPI 1023248499
Kristine Martinez

Case Manager/Care Coordinator

NPI 1336479229
NPI 1518328244
Erin Brewbaker

Counselor - Mental Health

NPI 1669811758
Deborah Mannle

Case Manager/Care Coordinator

NPI 1760890776
Abigail Cruz Estupinan

Counselor - Mental Health

NPI 1992339972

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated April 05, 2023

Record deactivated on April 05, 2023

NPI Profile Active March 10, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 10, 2015

Registered at 341 IRWIN LN, SANTA ROSA, CA 954015603 (Tel: 7073601511)

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Updated Business Mailing Address March 10, 2015

Registered at 1600 SCHAEFFER RD, SEBASTOPOL, CA 954725582 (Tel: 7072927712)

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Provider Name / Credentials Updated March 10, 2015

Recorded as DAVID DIPPE

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2015

Counselor

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Initial NPI Registration & Enumeration February 07, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477977619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2014
Last Update: March 10, 2015
Deactivation Date: April 05, 2023

Mailing Address

1600 Schaeffer Rd

Sebastopol, CA 954725582

Phone: 7072927712

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.