Active NPI
Hanna Diaz, LPCC
- Professional Counselor
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 212 Carmen LN Ste 201
Santa Maria, CA 93458-7771 - Phone
- (805) 212-7680
- Fax
- (805) 728-9492
- NPI assigned
- Dec 29, 2015
- Last updated
- Oct 13, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Mental Health Counselor | 101YM0800X | 12724 | CA | |
| Clinical Social Worker | 1041C0700X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Foster Care Agency | 253J00000X | 5818 | CA |
Addresses
Primary practice location
212 Carmen LN Ste 201
Santa Maria, CA 93458-7771
Mailing address
212 Carmen LN Ste 201
Santa Maria, CA 93458-7771
Phone (805) 212-7680
Other practice location 1
301 E 13th St
Merced, CA 95341-6211
Phone (559) 558-4051
Other practice location 2
3360 N Highway 59 Ste K
Merced, CA 95348-9405
Phone (209) 726-3090 ext. 7539
Other names 1
- Hanna Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12724 | CA | MD | Mental Health Counselor |
| 5818 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Sud Specialty Group - Ca | Clinical | Current | Accepting new patients |
| Telecare Corporation | Past | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
3211 Jefferson St
San Diego, CA 92110
Phone (619) 682-4012
3491 Kurtz St
Ste 150
San Diego, CA 92110
Phone (619) 276-1176
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Organizations & group practices 5
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.
-
dba Rula Health
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
Clinical
-
dba Gateway To Recovery
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1720164882
-
dba Valley Vista Permanent Supportive Housing
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1568842847
-
dba Telecare Carmen Lane
- Psychiatric Residential Treatment Facility
- Santa Maria, CA
- NPI 1245897354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1710342167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 CARMEN LN STE 201",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587771",
"telephone_number": "805-212-7680",
"fax_number": "805-728-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CARMEN LN STE 201",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934587771",
"telephone_number": "805-212-7680",
"fax_number": "805-728-9492"
}
],
"practiceLocations": [
{
"address_1": "301 E 13th St",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953416211",
"country_code": "US",
"telephone_number": "559-558-4051",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3360 N Highway 59 Ste K",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953489405",
"country_code": "US",
"telephone_number": "209-726-3090 x7539",
"fax_number": "209-722-7648",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "HANNA",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "12724",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "CA",
"license": "5818",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNA",
"last_name": "BROWN",
"credential": "APCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.