Active NPI
Diane Pedretti, LPC
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1285267518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC19365
- Practice address
- 4111 E Valley Auto Dr Ste 101
Mesa, AZ 85206-4607 - Phone
- (480) 666-5502
- NPI assigned
- Feb 14, 2020
- Last updated
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC19365 | AZ | Primary |
Addresses
Primary practice location
4111 E Valley Auto Dr Ste 101
Mesa, AZ 85206-4607
Mailing address
4111 E Valley Auto Dr Ste 101
Mesa, AZ 85206-4607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC19365 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1285267518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 E VALLEY AUTO DR STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852064607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 E VALLEY AUTO DR STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852064607",
"telephone_number": "480-666-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDRETTI",
"first_name": "DIANE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-14",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC19365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.