Active NPI
Diana Genzone, L.M.H.C.
- Mental Health Counselor
- Boca Raton, FL
National Provider Identifier
1760753222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 8474
- Practice address
- 7100 W Camino Real
Suite 302
Boca Raton, FL 33433-5510 - Phone
- (954) 415-0602
- NPI assigned
- Jan 14, 2012
- Last updated
- Mar 28, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4672 | FL | |
| Mental Health Counselor | 101YM0800X | MH 8474 | FL | Primary |
Addresses
Primary practice location
7100 W Camino Real
Suite 302
Boca Raton, FL 33433-5510
Mailing address
3635 Lakewood PL
Coconut Creek, FL 33073-2248
Phone (954) 415-0602
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4672 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH 8474 | FL | MD | Mental Health Counselor |
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.
-
- Mental Health Counselor
- Boca Raton, FL
- NPI 1407193873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1760753222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 LAKEWOOD PL",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330732248",
"telephone_number": "954-415-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W CAMINO REAL",
"address_2": "SUITE 302",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334335510",
"telephone_number": "954-415-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENZONE",
"first_name": "DIANA",
"name_prefix": "Mrs.",
"credential": "L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-14",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "4672",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 8474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Gentle Dental Group of Tamarac
- Geoffrey J Zann MD PA
- Geoffrey Mateo, DMD, LLC (Mateo Dental)
- Geoffrey S Tashjian P a
- George R Luck M D P a
- Jithin Joseph George, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.