Active NPI
Diane Dahlen, LPCC
- Professional Counselor
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC4827
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPCC4827 | Other | CA | BOARD 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC4827 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Torrance, CA
- NPI 1174012827
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.