Active NPI
Diane Villanueva, MS
- Case Manager/Care Coordinator
- Whitehall, PA
National Provider Identifier
1851994677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- SP-08105
- Practice address
- 1010 Fernhill LN
Whitehall, PA 18052-7817 - Phone
- (484) 294-1864
- NPI assigned
- Nov 17, 2020
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | SP-08105 | PA | Primary |
| Mental Health Counselor | 101YM0800X | SP-08105 | PA |
Addresses
Primary practice location
1010 Fernhill LN
Whitehall, PA 18052-7817
Mailing address
1010 Fernhill LN
Whitehall, PA 18052-7817
Phone (484) 294-1864
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-08105 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1851994677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 FERNHILL LN",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180527817",
"telephone_number": "484-294-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 FERNHILL LN",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180527817",
"telephone_number": "484-294-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "PA",
"license": "SP-08105",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SP-08105",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.