Individual provider Active NPI

Diane L Sellers, RN, LMFT

  • Marriage & Family Therapist
  • Visalia, CA
National Provider Identifier
1124323662
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 49484 Issued in CA
Practice address
1220 W Center Ave
Visalia, CA 93291-5911
Phone
(559) 280-5756
NPI assigned
Jan 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN 197014 CA
Marriage & Family Therapist 106H00000X MFC 49484 CA Primary

Addresses

Primary practice location

1220 W Center Ave
Visalia, CA 93291-5911

Mailing address

4319 W Crowley Ave
Visalia, CA 93291-5305
Phone (559) 733-3830

Other practice location 1

808 N Irwin St
Hanford, CA 93230-3838
Phone (559) 584-2819

Other names 1

  • Miss Diane L Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 5597472525 McDermott Counseling, LLC

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MFC 49484CAMDMarriage & Family Therapist
RN 197014CAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McDermott Individual and Family Marriage & Family Therapist CurrentSince Dec 1, 2024 Accepting new patients
Kings Counseling Center Marriage & Family Therapist Past Accepting new patients
McDermott Counseling, LLC Marriage & Family Therapist PastSince Nov 10, 2019 Accepting new patients
Kings Counseling Center Past Accepting new patients

Locations

1220 W Center Ave
Visalia, CA 93291
Phone (559) 280-5756

Organizations & group practices 4

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1124323662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 W CROWLEY AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915305",
            "telephone_number": "559-733-3830",
            "fax_number": "559-733-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915911",
            "telephone_number": "559-280-5756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 N Irwin St",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932303838",
            "country_code": "US",
            "telephone_number": "559-584-2819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "DIANE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RN, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "RN 197014",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 49484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "5597472525",
            "affiliation": "Y",
            "endpointDescription": "fax",
            "affiliationName": "McDermott Counseling, LLC",
            "address_1": "1220 W Center Ave",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932915911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MILLER",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.