Active NPI
Diane G Bernard, LPCC
- Counselor
- Union, KY
National Provider Identifier
1740475904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 7009 Oconnell PL
Union, KY 41091-7543 - Phone
- (614) 302-1685
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1609939214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131003506 | AZ | Practitioner - Mental Health Counselor | 7719330281 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family & Children'S Service | Current | Accepting new patients | |
| Jewish Family & Children'S Service | Current | Accepting new patients |
Locations
5701 W Talavi Blvd
Ste 180
Glendale, AZ 85306
Phone (623) 486-8082
2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314
4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7009 Oconnell PL
Union, KY 41091-7543
Mailing address
7009 Oconnell Place
Union, KY 41091
Phone (614) 302-1685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740475904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7009 OCONNELL PLACE",
"city": "UNION",
"state": "KY",
"postal_code": "41091",
"telephone_number": "614-302-1685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7009 OCONNELL PL",
"city": "UNION",
"state": "KY",
"postal_code": "410917543",
"telephone_number": "614-302-1685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "DIANE",
"middle_name": "G",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.