Active NPI
Diane Marie Johnson, MS, LPC, NCC
- Professional Counselor
- Saint Joseph, MO
National Provider Identifier
1316009574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001765
- Practice address
- 5414 Savannah Rd
Saint Joseph, MO 64505-1146 - Phone
- (816) 364-4292
- Fax
- (816) 364-2648
- NPI assigned
- Dec 14, 2006
- 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 | 001765 | MO | Primary |
Addresses
Primary practice location
5414 Savannah Rd
Saint Joseph, MO 64505-1146
Mailing address
5414 Savannah Rd
Saint Joseph, MO 64505-1146
Phone (816) 364-4292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001263101 | Other | MO | COMMUNITY HEALTH PLAN |
| 22330031 | Other | MO | BLUE CROSS BLUE SHIELD |
Other names 1
- Miss Diane Marie Rupp
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001765 | MO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Counseling Center Inc. | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Saint Joseph, MO
- NPI 1225190499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316009574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5414 SAVANNAH RD",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645051146",
"telephone_number": "816-364-4292",
"fax_number": "816-364-2648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5414 SAVANNAH RD",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645051146",
"telephone_number": "816-364-4292",
"fax_number": "816-364-2648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS, LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "001765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "10001263101",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "22330031",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "RUPP",
"middle_name": "MARIE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.