Individual provider Active NPI

Colter Lynn Diehl, MFTI

  • Marriage & Family Therapist
  • Napa, CA
National Provider Identifier
1447620117
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
85257 Issued in CA
Practice address
1100 Lincoln Ave
Suite 202
Napa, CA 94558-4900
Phone
(707) 255-3718
Fax
(707) 255-3715
NPI assigned
Oct 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 85257 CA Primary

Addresses

Primary practice location

1100 Lincoln Ave
Suite 202
Napa, CA 94558-4900

Mailing address

1100 Lincoln Ave
Suite 108
Napa, CA 94558-4900
Phone (707) 255-3718

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
I20240423002755 CA Practitioner - Marriage and Family Therapist 5496194417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network Ca PCGroup PAC ID 7719339548, 29 clinicians

Practice addresses (Care Compare)

74876 Serrano Dr
Twentynine Palms, CA 92277-3740
Phone (212) 284-7206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
85257CAMDMarriage & Family Therapist
106474CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network Ca PC CurrentSince Mar 17, 2024 Accepting new patients
Progress Foundation Past Accepting new patients
Progress Foundation Past Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 3

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": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1447620117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LINCOLN AVE",
            "address_2": "SUITE 108",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945584900",
            "telephone_number": "707-255-3718",
            "fax_number": "707-255-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LINCOLN AVE",
            "address_2": "SUITE 202",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945584900",
            "telephone_number": "707-255-3718",
            "fax_number": "707-255-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "COLTER",
        "middle_name": "LYNN",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.