DANI BLYTHE DUTRO MC, NCC, LMHC
NPI 1124407812
Counselor - Mental Health in Renton, WA

Q: What is Dani Blythe Dutro's NPI number?

The NPI number for Dani Blythe Dutro is 1124407812. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Dani Blythe Dutro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Dani Blythe Dutro was last updated on December 5, 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.

Active since May 27, 2015PECOS Enrolled

4445 TALBOT RD S, RENTON, WA 98055(425) 690-3414(425) 690-9414 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dani Blythe Dutro Mc, Ncc, Lmhc NPPES

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

DANI BLYTHE DUTRO MC, NCC, LMHC (NPI 1124407812) is an individual mental health provider in Renton, Washington, licensed in Washington (LH60459680) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124407812

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameDANI BLYTHE DUTROCredential: MC, NCC, LMHC

Location Address4445 TALBOT RD SRenton, WA 98055-6219

Mailing Address4445 Talbot Rd SRenton, WA 98055-6219 · (425) 690-3414 · Fax (425) 690-9414

Phone(425) 690-3414

Fax(425) 690-9414

Sole ProprietorYes

Enumeration DateMay 27, 2015

Last NPPES UpdateDecember 5, 2023

NPPES CertifiedDecember 5, 2023

✔ NPI 1124407812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · LH60459680

4445 TALBOT RD S, Renton, WA 98055

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dani Blythe Dutro Mc, Ncc, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

DANIEL JUN YANG MD

Psychiatry & Neurology (Psychiatry)