Individual provider Active NPI

Diana Edens, LPC

  • Mental Health Counselor
  • Hammond, LA
National Provider Identifier
1013463884
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6536 Issued in LA
Practice address
42382 Deluxe PLZ Ste 34
Hammond, LA 70403-1236
Phone
(985) 956-7378
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6536 LA Primary

Addresses

Primary practice location

42382 Deluxe PLZ Ste 34
Hammond, LA 70403-1236

Mailing address

20056 Highway 22
Ponchatoula, LA 70454-6776
Phone (225) 348-4295

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
I20240304001729 LA Practitioner - Mental Health Counselor 2961851258 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6536LAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems CurrentSince Jan 27, 2024 Accepting new patients
Southeast Community Health Systems CurrentSince Jan 27, 2024 Accepting new patients
Southeast Community Health Systems CurrentSince Jan 27, 2024 Accepting new patients
Southeast Community Health Systems PastSince Jan 15, 2023 Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems PastSince Dec 6, 2022 Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems PastSince Dec 6, 2022 Accepting new patients
Southeast Community Health Systems PastSince May 19, 2024 Accepting new patients
Southeast Community Health Systems PastSince Jan 15, 2023 Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems PastSince Jan 15, 2023 Accepting new patients

Locations

1798 Highway 1042
Greensburg, LA 70441
Phone (225) 306-2045

490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone 22530620002045

336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2060

603 9th St
Kentwood, LA 70444
Phone (985) 514-2085

15649 Highway 440
Kentwood, LA 70444

15841 Highway 440
Kentwood, LA 70444

68495 Highway 1054
Kentwood, LA 70444

1459 Service Rd
Kentwood, LA 70444
Phone (888) 414-7247

72961 Highway 1061
Kentwood, LA 70444

721 Avenue G
Kentwood, LA 70444
Phone (985) 229-5501

4488 Rollins Place Rd
Zachary, LA 70791

6351 Main St
Zachary, LA 70791
Phone (225) 306-2055

4100 Bronco Ln
Zachary, LA 70791
Phone (225) 658-7552

1300 Independence Blvd
Zachary, LA 70791

5200 E Central Ave
Zachary, LA 70791

3775 Hemlock St
Zachary, LA 70791
Phone (225) 654-4036

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEIBD/Endpoint/JCEIBD

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1013463884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20056 HIGHWAY 22",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546776",
            "telephone_number": "225-348-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42382 DELUXE PLZ STE 34",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031236",
            "telephone_number": "985-956-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENS",
        "first_name": "DIANA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.