Heidi Diebel, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

111782 Issued in CA

Practice address

9291 Oak Trail Cir
Santa Rosa, CA 95409

Phone

(650) 773-2608

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1609335314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 OAK TRAIL CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954096164",
            "telephone_number": "650-773-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 OAK TRAIL CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95409",
            "telephone_number": "650-773-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBEL",
        "first_name": "HEIDI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Louise Dickinson, RN
• Walter Reed Dickinson, D.M.D.
• Heather Dickison, AMFT
• Sheila Blythe Dickson, PH.D.
• Robert P Didier, D.D.S.
• Caitlyn Diebold
• Tara Lynn Dikeman, M.ED.,OTR
• Vanla Nyna Dikousman
• Christine G Diles
• William Samuel Diles III

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.