Individual provider Active NPI

Diana E Rosen

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1053805903
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
45 E Monterey Way Ste 100
Phoenix, AZ 85012-2753
Phone
(480) 351-6520
NPI assigned
Jun 14, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

45 E Monterey Way Ste 100
Phoenix, AZ 85012-2753

Mailing address

1217 W Campbell Ave
Phoenix, AZ 85013-2618
Phone (480) 433-9312

Other practice location 1

335 N Alma School Rd
Chandler, AZ 85224-4363
Phone (480) 351-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240903002983 AZ Practitioner - Mental Health Counselor 2668911710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service Current Accepting new patients
Jewish Family & Children's Service CurrentSince Aug 1, 2024 Accepting new patients
Jewish Family & Children's Service CurrentSince Aug 1, 2024 Accepting new patients
Lifeline Professional Counseling Services, Inc Counselor PastSince Jan 20, 2024 Accepting new patients
Lifeline Professional Counseling Services, Inc Past Accepting new patients

Locations

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1053805903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 W CAMPBELL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850132618",
            "telephone_number": "480-433-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 E MONTEREY WAY STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122753",
            "telephone_number": "480-351-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 N Alma School Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244363",
            "country_code": "US",
            "telephone_number": "480-351-6520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEN",
        "first_name": "DIANA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.