Active NPI
Diana Redeemer, MA., LPCC, LPC
- Professional Counselor
- Orange, CA
National Provider Identifier
1073692133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC13013
- Practice address
- 401 S Tustin St
Orange, CA 92866-2550 - Phone
- (714) 289-3936
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC13013 | CA | Primary |
Addresses
Primary practice location
401 S Tustin St
Orange, CA 92866-2550
Mailing address
401 S Tustin St BLDG D
Orange, CA 92866-2550
Phone (951) 955-7320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382143740 | Other | MI | TAX ID |
| 730195 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC13013 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saginaw Psychological Services, Inc. | Mental Health | Past | 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": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1073692133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S TUSTIN ST BLDG D",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662550",
"telephone_number": "951-955-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662550",
"telephone_number": "714-289-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDEEMER",
"first_name": "DIANA",
"name_prefix": "Mrs.",
"credential": "MA., LPCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPCC13013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "382143740",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "730195",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.