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ANDREW WILLIAM DIPASTENA MFT TEMP LICENSE
NPI 1003577370
Marriage & Family Therapist in Cleveland, TN

Active since January 07, 2022PECOS EnrolledAccepts Medicare Assignment
2200 CHAMBLISS AVE NW, CLEVELAND, TN 37311(423) 599-9347 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 22, 2023, Jan 7, 2022 (2 updates tracked since 2022).

About Andrew William Dipastena Mft Temp License NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW WILLIAM DIPASTENA MFT TEMP LICENSE (NPI 1003577370) is an individual marriage & family therapist in Cleveland, Tennessee, licensed in Tennessee (1914) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003577370
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameANDREW WILLIAM DIPASTENACredential: MFT TEMP LICENSE
Location Address2200 CHAMBLISS AVE NWCleveland, TN 37311-3874
Mailing Address725 Everhart Dr NwCleveland, TN 37311-1622 · (423) 544-0199
Phone(423) 599-9347
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 7, 2022
Last NPPES UpdateNovember 22, 20232 updates tracked since enumeration
NPPES CertifiedNovember 22, 2023
✔ NPI 1003577370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in TN · 1914
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2200 CHAMBLISS AVE NW, Cleveland, TN 37311
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew William Dipastena Mft Temp License is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527401421
PECOS Enrollment IDI20240207003844
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Dipastena reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Therapy LLC.
1.3 mi
Community/Behavioral Health
525 HUNT CLIFF DR NW
Cleveland, TN 37311
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1780576223 (423) 544-0199

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY CHRISTIAN CARE CENTER, LLC
Physician Assistant (Medical)
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 599-9347
DUNAMIS HOPE AND HEALING, LLC
Counselor
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (615) 521-3441
DON C. HARTING, MD PC
Dermatology
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 479-8648
MS. JENNIFER DAWN WALKER PA-C
Physician Assistant (Medical)
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 599-9347
DR. DON CHARLES HARTING M.D.
Dermatology
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 479-8648
FAITH-CENTERED CHRISTIAN COUNSELING
Counselor (Mental Health)
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 599-9347
DR. DENISE WALKER HARRIS DMIN., MAC
Counselor
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (404) 660-3179
ANNE HILLIAN
Social Worker
2200 CHAMBLISS AVE NW
CLEVELAND, TN 37311
Bradley County (423) 599-9347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Dipastena's NPI number?

The NPI number for Andrew Dipastena is 1003577370. It was assigned to this individual provider in the NPPES registry on January 7, 2022.

Where is Andrew Dipastena located?

Andrew Dipastena practices at 2200 Chambliss Ave NW, Cleveland, TN 37311. The listed phone number is (423) 599-9347.

What is Andrew Dipastena's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Andrew Dipastena enrolled in Medicare?

Yes. Andrew Dipastena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew Dipastena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Dipastena reassigns Medicare benefits to Legacy Therapy LLC. (Cleveland, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Dipastena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Dipastena accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Andrew Dipastena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Dipastena was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.