Individual provider Active NPI

Diane Kramarz

  • Professional Counselor
  • Thibodaux, LA
National Provider Identifier
1003343955
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6213 Issued in LA
Practice address
301 Abby Rd
Thibodaux, LA 70301-6020
Phone
(985) 448-0764
Fax
(985) 448-1912
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6213 LA Primary

Addresses

Primary practice location

301 Abby Rd
Thibodaux, LA 70301-6020

Mailing address

PO Box 1536
Mandeville, LA 70470-1536
Phone (985) 635-6943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808002945 LA Practitioner - Mental Health Counselor 6709238066 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Bend Family Services LLC Professional CurrentSince Jan 1, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1003343955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701536",
            "telephone_number": "985-635-6943",
            "fax_number": "985-635-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ABBY RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016020",
            "telephone_number": "985-448-0764",
            "fax_number": "985-448-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMARZ",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.