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Active NPI 1508604760 Individual Practitioner Male Practitioner

Daniel Ditlow , CPC

Counselor • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Daniel Ditlow, CPC is a registered healthcare professional specializing in Counselor in Olympia, WA. Practice services are available at 6604 MARTIN WAY E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6604 Martin Way E

Olympia, WA 985165542

Telephone 3606397002
Fax 3606390920
Associated Practice Facility / Clinic
🏢 Supreme Living Llc Facility NPI 1154085181

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
423 Specialists

Practicing in Olympia, WA (11556 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

CMS Verified: 2024-07-19
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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1528795382

Bachelor of Social Work

Kristen Swartz , SUDPT MHCA

Psychologist - Addiction (Substance Use Disorder)

NPI 1578363248

SUDPTMHCA

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 19, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 19, 2024

Registered at 6604 MARTIN WAY E, OLYMPIA, WA 985165542 (Tel: 3606397002)

📍
Updated Business Mailing Address July 19, 2024

Registered at 280 W ST SE, TUMWATER, WA 985015202 (Tel: 5642257596)

👤
Provider Name / Credentials Updated July 19, 2024

Recorded as DANIEL DITLOW, CPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 19, 2024

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: 1508604760
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2024
Last Update: July 19, 2024
Sole Proprietor: No

Mailing Address

280 W St Se

Tumwater, WA 985015202

Phone: 5642257596

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.