Individual provider Active NPI

Diane Ashouri

  • Mental Health Counselor
  • West Orange, NJ
National Provider Identifier
1710666185
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00608900 Issued in NJ
Practice address
659 Eagle Rock Ave Ste 4
West Orange, NJ 07052-2138
Phone
(855) 274-3395
Fax
(469) 519-1448
NPI assigned
Jul 13, 2023
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00608900 NJ Primary

Addresses

Primary practice location

659 Eagle Rock Ave Ste 4
West Orange, NJ 07052-2138

Mailing address

194 Sayre Dr
Princeton, NJ 08540-5802
Phone (786) 208-9675

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37AC00608900NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1710666185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 SAYRE DR",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405802",
            "telephone_number": "786-208-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 EAGLE ROCK AVE STE 4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522138",
            "telephone_number": "855-274-3395",
            "fax_number": "469-519-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHOURI",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00608900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.