Active NPI
Diane Maez, LPCC
- Mental Health Counselor
- Campbell, CA
National Provider Identifier
1356711972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1125
- Practice address
- 155 E Campbell Ave Ste 109
Campbell, CA 95008-2049 - Phone
- (408) 946-1222
- NPI assigned
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1125 | CA | Primary |
Addresses
Primary practice location
155 E Campbell Ave Ste 109
Campbell, CA 95008-2049
Mailing address
800 S Abel St Unit 308
Milpitas, CA 95035-8697
Phone (408) 346-1222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1125 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1356711972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 S ABEL ST UNIT 308",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950358697",
"telephone_number": "408-346-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 E CAMPBELL AVE STE 109",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082049",
"telephone_number": "408-946-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAEZ",
"first_name": "DIANE",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "1125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.