Individual provider Active NPI

Diana L. Bala, LPCC-S, NCC

  • Mental Health Counselor
  • Stow, OH
National Provider Identifier
1750337473
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E0003695 Issued in OH
Practice address
4301 Darrow Rd Ste 3500
Stow, OH 44224
Phone
(330) 630-9223
NPI assigned
May 25, 2006
Last updated
May 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E0003695 OH
Mental Health Counselor 101YM0800X E0003695 OH Primary
Professional Counselor 101YP2500X E. 0003695 OH

Addresses

Primary practice location

4301 Darrow Rd Ste 3500
Stow, OH 44224

Mailing address

4301 Darrow Rd Ste 3500
Stow, OH 44224-2686
Phone (330) 630-9223

Other practice location 1

85 Community Rd
Suite F
Tallmadge, OH 44278-2356
Phone (330) 633-1206

Other identifiers 1

IdentifierTypeStateIssuer
000389863OtherOHANTHEM

Other names 1

  • Diana L. Bala Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 11, 2024 through Dec 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E0003695OHMDMental Health Counselor
E. 0003695OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Counseling and Psychological Services, Inc. Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1750337473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 DARROW RD STE 3500",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242686",
            "telephone_number": "330-630-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 DARROW RD STE 3500",
            "city": "STOW",
            "state": "OH",
            "postal_code": "44224",
            "telephone_number": "330-630-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Community Rd",
            "address_2": "SUITE F",
            "address_purpose": "LOCATION",
            "city": "Tallmadge",
            "state": "OH",
            "postal_code": "442782356",
            "country_code": "US",
            "telephone_number": "330-633-1206",
            "fax_number": "330-633-1364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALA",
        "first_name": "DIANA",
        "middle_name": "L.",
        "credential": "LPCC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E0003695",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0003695",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E. 0003695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000389863",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "BALA",
            "middle_name": "L.",
            "credential": "LPCCS, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.