Active NPI
Diana Elizabeth Sellers, LPC
- Professional Counselor
- Austin, TX
National Provider Identifier
1639266208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19301
- Practice address
- 3021 McCurdy St
Austin, TX 78723-2902 - Phone
- (512) 267-2614
- Fax
- (512) 267-9637
- NPI assigned
- Oct 6, 2006
- Last updated
- Mar 27, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19301 | TX | Primary |
Addresses
Primary practice location
3021 McCurdy St
Austin, TX 78723-2902
Mailing address
3021 McCurdy St
Austin, TX 78723-2902
Phone (512) 267-2614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Jonestown, TX 78645
Phone (512) 499-8994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19301 | TX | MD | Professional Counselor |
| 19302 | TX | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cerridwen Inc | Current | Accepting new patients |
Locations
901 E 12th St
Austin, TX 78702
18700 FM 1431
Ste J
Jonestown, TX 78645
Phone (512) 267-2614
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pastoral Counselor
- Austin, TX
- NPI 1558514414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1639266208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 MCCURDY ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232902",
"telephone_number": "512-267-2614",
"fax_number": "512-267-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3021 MCCURDY ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787232902",
"telephone_number": "512-267-2614",
"fax_number": "512-267-9637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "DIANA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.