Individual provider Active NPI

Dianna Villegas

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1306292065
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
154224 Issued in CA
Practice address
275 Beck Ave
Fairfield, CA 94533-6804
Phone
(707) 784-8025
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 101994 CA
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 154224 CA Primary

Addresses

Primary practice location

275 Beck Ave
Fairfield, CA 94533-6804

Mailing address

275 Beck Ave
Fairfield, CA 94533-6804
Phone (707) 784-8025

Other practice location 1

470 Chadbourne Rd Ste E
Fairfield, CA 94534-9620
Phone (707) 425-9670

Other names 1

  • Dianna Mota Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250916001102 CA Practitioner - Marriage and Family Therapist 2365946159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of SolanoGroup PAC ID 7911893177, 30 clinicians

Practice addresses (Care Compare)

2101 Courage Dr
Fairfield, CA 94533-6717
Phone (707) 784-2120

275 Beck Ave
Fairfield, CA 94533-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101994CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Solano Current Accepting new patients
County of Solano CurrentSince Jun 20, 2025 Accepting new patients
County of Solano CurrentSince Jun 20, 2025 Accepting new patients
County of Solano PastSince Sep 1, 2019 Accepting new patients

Locations

2101 Courage Dr
Fairfield, CA 94533
Phone (707) 428-1131

275 Beck Ave
Fairfield, CA 94533
Phone (707) 784-8070

275 Beck Ave
#5210
Fairfield, CA 94533
Phone (707) 784-8571

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": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1306292065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BECK AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-784-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BECK AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336804",
            "telephone_number": "707-784-8025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Chadbourne Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945349620",
            "country_code": "US",
            "telephone_number": "707-425-9670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "DIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "101994",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNA",
            "last_name": "MOTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.