Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew William Dipastena, MFTTEMPLICENSE

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003577370

Andrew William Dipastena, MFTTEMPLICENSE is a Marriage and Family Therapist in Cleveland, Tennessee. Qualified in 2021, 5 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

2200 Chambliss Ave NW
Cleveland, TN 37311-3874
Phone: (423) 599-9347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 1914 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003577370
Entity typeIndividual (Type 1)
GenderMale
Credentials MFTTEMPLICENSE
Sole proprietorYes
NPI enumeratedJanuary 7, 2022
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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