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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38220 | IA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Health Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11654900 | Other | IA | CAQH PROVIDER # |
Other providers in West Des Moines, IA
- Alyssa McAfee
- Emily Robin McAllister
- Linda A McCall
- Nicholas McCall
- Emily McCalley
- Dustin McCann
- Curtis Lee McCarty III
- Marshall James McCarty
- Julie McClatchey
- McCleary Internal Medicine PC
All providers in West Des Moines, IA · Professional Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.