Individual provider Active NPI

Diana Steiner, MA, LAC, CCTP

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1700341005
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LAC-17678 Issued in AZ
Practice address
18301 N 79TH Ave Ste F168
Glendale, AZ 85308-6045
Phone
(602) 633-2246
NPI assigned
Jan 31, 2019
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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 LAC-17678 AZ Primary

Addresses

Primary practice location

18301 N 79TH Ave Ste F168
Glendale, AZ 85308-6045

Mailing address

28425 N Black Canyon Hwy Unit 3039
Phoenix, AZ 85085-7618
Phone (480) 250-2642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251212001084 AZ Practitioner - Mental Health Counselor 5799279162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ponderosa Family Care LLCGroup PAC ID 1456548015, 12 clinicians

Practice addresses (Care Compare)

708 S Coeur D Alene LN
Payson, AZ 85541-5662
Phone (928) 468-8603

806 S Ponderosa St
Payson, AZ 85541-5541
Phone (928) 468-8603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LAC-17678AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ponderosa Family Care, LLC CurrentSince Sep 15, 2025 Accepting new patients
Ponderosa Family Care, LLC CurrentSince Sep 15, 2025 Accepting new patients

Locations

708 S Coeur D Alene Ln
Ste B
Payson, AZ 85541
Phone (928) 468-8603

806 S Ponderosa St
Payson, AZ 85541
Phone (928) 468-8603

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEIBDA

Organizations & group practices 2

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": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1700341005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28425 N BLACK CANYON HWY UNIT 3039",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857618",
            "telephone_number": "480-250-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE STE F168",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086045",
            "telephone_number": "602-633-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINER",
        "first_name": "DIANA",
        "credential": "MA, LAC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-17678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.