Individual provider Active NPI

Diane Hofstadter, LPC

  • Professional Counselor
  • Vienna, VA
National Provider Identifier
1386727824
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004826 Issued in VA
Practice address
129 Park St NE
Suite 10a
Vienna, VA 22180-4603
Phone
(405) 818-6024
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1667 OK
Professional Counselor 101YP2500X 0701004826 VA Primary

Addresses

Primary practice location

129 Park St NE
Suite 10a
Vienna, VA 22180-4603

Mailing address

5714 Mackenzie St
Centreville, VA 20120-1422
Phone (405) 818-6024

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

LicenseStateTypeSpecialty
0701004826VAMDProfessional Counselor
1667OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Hofstadter, LLC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1386727824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 MACKENZIE ST",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201422",
            "telephone_number": "405-818-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 PARK ST NE",
            "address_2": "SUITE 10A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804603",
            "telephone_number": "405-818-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFSTADTER",
        "first_name": "DIANE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "1667",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.