Diane J Richards-Penland, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

001484 Issued in CT

Practice address

60 &70 Cottage St.
Danielson, CT 06329

Phone

(860) 774-0215

Fax

(860) 774-2256

NPI assigned

Jul 21, 2023

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CT

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Inlight Professional Counseling Services LLC

  • Marriage & Family Therapist
  • Danielson, CT
  • NPI 1619284593
  Medicare reassignment NPD
• Parham Counseling Services, LLC

  • Mental Health Counselor
  • Norwich, CT
  • NPI 1750893905
  NPD

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1801576079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 KETTLETOWN RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882641",
            "telephone_number": "203-560-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 &70 COTTAGE ST.",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "06329",
            "telephone_number": "860-774-0215",
            "fax_number": "860-774-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 E Ramsdell St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065151140",
            "country_code": "US",
            "telephone_number": "203-781-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS-PENLAND",
        "first_name": "DIANE",
        "middle_name": "J",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008042339",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008109605",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008023170",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008024427",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008039745",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regency Heights of Danielson, LLC
• Regeneration Therapy and Counseling LLC
• Nathan Restor, LPCA
• Rethink Therapy LLC
• Brittany Sue Reynolds, RDH, PHDH
• Meredith Richards, LMFT
• Lisa Marie Rivera, LCSW
• Stephanie Roers, LAC
• Emma Rogers
• Seleena Rosado, LMFTA

• Addiction (Substance Use Disorder) Counselor in Danielson, CT
• Providers in Danielson, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.

Verify at the official NPI Registry.