Dianne Ancona, LPCC 12456
Individual provider Active NPI Professional Counselor · Rocklin, CA
NPI 1104542299 · NPPES record last updated Oct 19, 2022
Key facts
- NPI
- 1104542299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 12456 (CA)
- Practice address
- 5701 Lonetree Blvd Ste 221F
Rocklin, CA 95765-3796 - Phone
- (916) 316-6565
- NPI assigned
- Oct 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thriving Life Counseling | Current |
Accepting new patients |
Locations
5701 Lonetree Blvd
Ste 221F
Rocklin, CA 95765
Phone (630) 977-9761
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12456 | CA | Yes |
Addresses
Primary practice location
5701 Lonetree Blvd Ste 221F
Rocklin, CA 95765-3796
Mailing address
5701 Lonetree Blvd Ste 221F
Rocklin, CA 95765-3796
Other providers in Rocklin, CA
- Amin S. DDS Corporation
- Shiva Amin-Shinnette
- Mayar Amin
- Amy M Kiesselbach DDS Inc
- Anas Jebrini DDS PC
- Chloe Anderson
- Hermina Andries
- Ryan Andrighetto
- Shanna Reann Angel
- Hermie Lorenzo Remollo Angeles
All providers in Rocklin, CA · Professional Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.