Diane Melanie Valdespino, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH61132618 Issued in WA

Practice address

3627 152ND St NE
Marysville, WA 98271-8944

Phone

(253) 294-0617

NPI assigned

Jul 31, 2012

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• New Life for Everyone PLLC

  • Mental Health Counselor
  • Marysville, WA
  • NPI 1265147508
  NPD Authorized official
• New Life Counseling Services PLLC

  • Mental Health Counselor
  • Marysville, WA
  • NPI 1356708135

  Addiction (Substance Use Disorder)

  NPD
• New Life Lab Services LLC

  • Clinical Medical Laboratory
  • Marysville, WA
  • NPI 1215598727
  NPD

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1740536457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18036 SE 240TH PL",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424810",
            "telephone_number": "253-294-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 152ND ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718944",
            "telephone_number": "253-294-0617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 Central Ave S Ste Q",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980327452",
            "country_code": "US",
            "telephone_number": "253-294-0617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDESPINO",
        "first_name": "DIANE",
        "middle_name": "MELANIE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60502604",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61132618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039243",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kareo",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3627 152nd St NE",
            "city": "Marysville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982718944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Marysville, WA
• Providers in Marysville, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.