Diana D McCann, M.A. & RN

Individual provider Active NPI Professional Counselor · West Des Moines, IA

NPI 1093843534 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1093843534
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
38220 (IA)
Practice address
950 Office Park Rd
Suite 139
West Des Moines, IA 50265-2549
Phone
(515) 255-3815
Fax
(515) 223-8293
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
38220IAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Health Services LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 38220 IA Yes

Addresses

Primary practice location

950 Office Park Rd
Suite 139
West Des Moines, IA 50265-2549

Mailing address

950 Office Park Rd
Suite 139
West Des Moines, IA 50265-2549
Phone (515) 255-3815

Other identifiers

IdentifierTypeStateIssuer
11654900OtherIACAQH PROVIDER #

Other providers in West Des Moines, IA

All providers in West Des Moines, IA · Professional Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.