Active NPI
Diane Hira Rose, MA, LMFT
- Mental Health Counselor
- Berkeley, CA
National Provider Identifier
1750615449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFT14248
- Practice address
- 1226A Bonita Ave
Berkeley, CA 94709-1923 - Phone
- (510) 525-8056
- NPI assigned
- Sep 28, 2009
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT14248 | CA | Primary |
Addresses
Primary practice location
1226A Bonita Ave
Berkeley, CA 94709-1923
Mailing address
1226A Bonita Ave
Berkeley, CA 94709-1923
Phone (510) 525-8056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241345 | Other | CA | VALUE OPTIONS |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT14248 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1750615449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226A BONITA AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091923",
"telephone_number": "510-525-8056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226A BONITA AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091923",
"telephone_number": "510-525-8056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "DIANE",
"middle_name": "HIRA",
"name_prefix": "Ms.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-28",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFT14248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "241345",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.