Individual provider Active NPI

Diane McMahon, LPC, RN

  • Professional Counselor
  • Lawrenceville, NJ
National Provider Identifier
1609179977
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00374900 Issued in NJ
Practice address
133 Franklin Corner Rd
2ND Floor Psychotherapy Suite
Lawrenceville, NJ 08648-2531
Phone
(609) 937-5881
NPI assigned
Dec 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00374900 NJ Primary

Addresses

Primary practice location

133 Franklin Corner Rd
2ND Floor Psychotherapy Suite
Lawrenceville, NJ 08648-2531

Mailing address

519 Wayne Ave
Pitman, NJ 08071-1725
Phone (609) 937-5881

Other identifiers 1

IdentifierTypeStateIssuer
08779818MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240122000053 NJ Practitioner - Mental Health Counselor 5698127116

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

134 Franklin Corner Rd
Lawrenceville, NJ 08648-2527
Phone (609) 937-5881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
37PC00374900NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing With Heart and Horses Therapy Practice LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

133 Franklin Corner Rd
Lawrenceville, NJ 08648
Phone (609) 815-7270

134 Franklin Corner Rd
Ste 201
Lawrenceville, NJ 08648
Phone (732) 859-0575

133 Franklin Corner Rd
Ste 2
Lawrenceville, NJ 08648
Phone (609) 406-1754

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": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1609179977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 WAYNE AVE",
            "city": "PITMAN",
            "state": "NJ",
            "postal_code": "080711725",
            "telephone_number": "609-937-5881",
            "fax_number": "856-556-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 FRANKLIN CORNER RD",
            "address_2": "2ND FLOOR PSYCHOTHERAPY SUITE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482531",
            "telephone_number": "609-937-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LPC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00374900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08779818",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.