Individual provider Active NPI

Diana Elizabeth Sellers, LPC

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1639266208
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19301 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412001216 TX Practitioner - Mental Health Counselor 5496847329 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
19301TXMDProfessional Counselor
19302TXMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Cerridwen Inc CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.