Active NPI
Diego Paris Hall, LMFT
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1285152298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 119614
- Practice address
- 621 Cherry St
Santa Rosa, CA 95404-4202 - Phone
- (707) 540-4437
- NPI assigned
- Aug 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 119614 | CA | Primary |
Addresses
Primary practice location
621 Cherry St
Santa Rosa, CA 95404-4202
Mailing address
1585 Terrace Way # 407
Santa Rosa, CA 95404-3066
Phone (707) 540-4437
Other practice location 1
2447 Summerfield Rd
Santa Rosa, CA 95405-7815
Phone (707) 800-3951
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119614 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden State Performance and Family Counseling Inc | Marriage & Family Therapist | Current | Accepting new patients |
Locations
621 Cherry St
Santa Rosa, CA 95404
Phone (707) 479-2946
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.
-
- Marriage & Family Therapist
- Santa Rosa, CA
- NPI 1861203440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1285152298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 TERRACE WAY # 407",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954043066",
"telephone_number": "707-540-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 CHERRY ST",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044202",
"telephone_number": "707-540-4437"
}
],
"practiceLocations": [
{
"address_1": "2447 Summerfield Rd",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954057815",
"country_code": "US",
"telephone_number": "707-800-3951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "DIEGO",
"middle_name": "PARIS",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-30",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.