Individual provider Active NPI

Danielle Renee Dietz, LPC

  • Professional Counselor
  • Front Royal, VA
National Provider Identifier
1265057988
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009411 Issued in VA
Practice address
209 W Criser Rd
Front Royal, VA 22630-2360
Phone
(540) 635-4804
Fax
(540) 636-7171
NPI assigned
Jun 9, 2020
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701009411 VA Primary

Addresses

Primary practice location

209 W Criser Rd
Front Royal, VA 22630-2360

Mailing address

1687 Jordan Springs Rd
Stephenson, VA 22656-2113
Phone (703) 347-3193

Other practice location 1

480 W Jubal Early Dr Ste 350
Winchester, VA 22601-6450
Phone (540) 635-4804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218002542 VA Practitioner - Mental Health Counselor 7719336676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Community Services BoardGroup PAC ID 2769371251, 15 clinicians

Practice addresses (Care Compare)

209 W Criser Rd
Suite 100
Front Royal, VA 22630-2360
Phone (540) 636-2931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Community Services Board CurrentSince Dec 17, 2023 Accepting new patients
Northwestern Community Services Board Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

209 W Criser Rd
Front Royal, VA 22630
Phone (540) 636-2931

209 W Criser Rd
Ste 100
Front Royal, VA 22630
Phone (540) 636-2931

209 W Criser Rd
Ste 300
Front Royal, VA 22630
Phone (540) 636-4250

136 General Dr
Ste 300
Luray, VA 22835
Phone (540) 743-4548

158 Front Royal Pike
Ste 303
Winchester, VA 22602
Phone (540) 409-5254

170 Prosperity Dr
Winchester, VA 22602
Phone (540) 667-8888

480 W Jubal Early Dr
Ste 350
Winchester, VA 22601
Phone (540) 635-4804

441 N Main St
Woodstock, VA 22664
Phone (540) 459-4946

494 N Main St
Ste 300
Woodstock, VA 22664
Phone (540) 459-5180

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1265057988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1687 JORDAN SPRINGS RD",
            "city": "STEPHENSON",
            "state": "VA",
            "postal_code": "226562113",
            "telephone_number": "703-347-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W CRISER RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302360",
            "telephone_number": "540-635-4804",
            "fax_number": "540-636-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 W Jubal Early Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226016450",
            "country_code": "US",
            "telephone_number": "540-635-4804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "DANIELLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.