Individual provider Active NPI

Diane Dahlen, LPCC

  • Professional Counselor
  • Torrance, CA
National Provider Identifier
1710378187
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPCC4827 Issued in CA
Practice address
23133 Hawthorne Blvd Ste 207
Torrance, CA 90505-3729
Phone
(310) 502-0164
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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 LPCC4827 CA Primary

Addresses

Primary practice location

23133 Hawthorne Blvd Ste 207
Torrance, CA 90505-3729

Mailing address

2390 Crenshaw Blvd #460
Torrance, CA 90501
Phone (310) 847-9084

Other practice location 1

2008 W Carson St Ste 105
Torrance, CA 90501-3288
Phone (424) 271-5799

Other practice location 2

2390 Crenshaw Blvd # 460
Torrance, CA 90501-3300
Phone (310) 847-9084

Other identifiers 1

IdentifierTypeStateIssuer
LPCC4827OtherCABOARD OF BEHAVIORAL SCIENCES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC4827CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stage of Life Counseling Inc Professional Current Accepting new patients

Locations

2008 W Carson St
Ste 105
Torrance, CA 90501
Phone (310) 853-8023

2390 Crenshaw Blvd
#460
Torrance, CA 90501
Phone (310) 847-9084

23133 Hawthorne Blvd
Ste 207
Torrance, CA 90505
Phone (310) 502-0164

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1710378187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 CRENSHAW BLVD #460",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90501",
            "telephone_number": "310-847-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 HAWTHORNE BLVD STE 207",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053729",
            "telephone_number": "310-502-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2008 W Carson St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905013288",
            "country_code": "US",
            "telephone_number": "424-271-5799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2390 Crenshaw Blvd # 460",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905013300",
            "country_code": "US",
            "telephone_number": "310-847-9084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHLEN",
        "first_name": "DIANE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC4827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "LPCC4827",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.