Individual provider Active NPI

Hanna Diaz, LPCC

  • Professional Counselor
  • Santa Maria, CA
National Provider Identifier
1710342167
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327002883 CA Practitioner - Mental Health Counselor 2264955509 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12724CAMDMental Health Counselor
5818CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Mar 1, 2025 Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2025 Accepting new patients
Telecare Corporation Current Accepting new patients
Sud Specialty Group - Ca Clinical CurrentSince May 1, 2025 Accepting new patients
Telecare Corporation PastSince Nov 21, 2021 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.

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

Verify at the official NPI Registry.