Individual provider Active NPI

Diane Saleeby, LMHC, PH. D.

  • Mental Health Counselor
  • Tavernier, FL
National Provider Identifier
1336291848
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 3947 Issued in FL
Practice address
91831 Overseas Hwy
Suite a
Tavernier, FL 33070-2647
Phone
(305) 852-8482
NPI assigned
Jan 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 3947 FL Primary

Addresses

Primary practice location

91831 Overseas Hwy
Suite a
Tavernier, FL 33070-2647

Mailing address

PO Box 264
Tavernier, FL 33070-0264
Phone (305) 852-8482

Other names 1

  • Diane Gardner Other name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH 3947FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Saleeby Gardner LMHC, PH. D. 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, 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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336291848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 264",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330700264",
            "telephone_number": "305-852-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91831 OVERSEAS HWY",
            "address_2": "SUITE A",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702647",
            "telephone_number": "305-852-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEBY",
        "first_name": "DIANE",
        "credential": "LMHC, PH. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 3947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GARDNER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tavernier, FL

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.

Verify at the official NPI Registry.