CARLY ANNE DANA LPC
NPI 1881202653
Counselor - Professional in Redmond, OR

Active since July 17, 2020PECOS EnrolledAccepts Medicare Assignment
7515 FALCON CREST DR # 200, REDMOND, OR 97756(541) 904-5216(541) 527-4347 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 29, 2021, Jul 17, 2020 (2 updates tracked since 2020).

About Carly Anne Dana Lpc NPPES

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

CARLY ANNE DANA LPC (NPI 1881202653) is an individual professional provider in Redmond, Oregon, licensed in Arizona (LPC-19081) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Show Low, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1881202653
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARLY ANNE DANACredential: LPC
Location Address7515 FALCON CREST DR # 200Redmond, OR 97756-5014
Mailing Address7515 Falcon Crest Dr # 200Redmond, OR 97756-5014 · (541) 904-5216 · Fax (541) 527-4347
Fax(541) 527-4347
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 17, 2020
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1881202653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in AZ · LPC-19081✔ Licensed in OR · C8977
7515 FALCON CREST DR # 200, Redmond, OR 97756

Secondary Practice Location 1

Location 12051 Evergreen Ln Ste BShow Low, AZ 85901-7928 · Phone (928) 537-6941

Accepted 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

Carly Anne Dana Lpc 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 ID9739531617
PECOS Enrollment IDI20240116003288
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 Reassignments

2

Medicare enrollment records show Carly Dana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Psychotherapy
7515 FALCON CREST DR # 200
Redmond, OR 97756
  • Reassigned Medicare billing, Oregon enrollment
  • 86 clinicians in this Medicare group
Clinical
914 N SAN FRANCISCO ST
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Optum Behavioral Care Of Colorado PC
  • 24 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

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.

Nurse Practitioner (Psychiatric/Mental Health)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Social Worker (Clinical)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Nurse Practitioner (Psychiatric/Mental Health)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Social Worker (Clinical)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756
Counselor (Professional)
7515 FALCON CREST DR # 200
REDMOND, OR 97756

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 Carly Dana's NPI number?

The NPI number for Carly Dana is 1881202653. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Where is Carly Dana located?

Carly Dana practices at 7515 Falcon Crest Dr # 200, Redmond, OR 97756. The listed phone number is (541) 904-5216.

What is Carly Dana's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Carly Dana enrolled in Medicare?

Yes. Carly Dana 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 organizations bill Medicare for Carly Dana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Dana reassigns Medicare benefits to 2 organizations: Brightways Counseling Group LLC (Redmond, OR) and Optum Behavioral Care Of Colorado, P.C. (Flagstaff, AZ). Each 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 Carly Dana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Dana accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Moda Health Plan, Inc. and 4 other insurers list Carly Dana 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 Carly Dana was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.