Active NPI
Diana Masso, LPC
- Professional Counselor
- Charleston, WV
National Provider Identifier
1871614487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1797
- Practice address
- 600 Shrewsbury St
Charleston, WV 25301-1211 - Phone
- (304) 541-9820
- Fax
- (855) 815-7553
- NPI assigned
- Apr 2, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1797 | WV | Primary |
Addresses
Primary practice location
600 Shrewsbury St
Charleston, WV 25301-1211
Mailing address
841 Somerset Dr
Charleston, WV 25302-2737
Phone (304) 541-9820
Other practice location 1
16 Leon Sullivan Way
Ste. 300
Charleston, WV 25301-2402
Phone (304) 346-9689 ext. 40
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001803458 | Other | WV | GROUP BCBS # |
| 001850788 | Other | WV | IND. BCBS PROVIDER # |
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 |
|---|---|---|---|
| 1797 | WV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanawha Pastoral Counseling Center | Professional | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1871614487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 SOMERSET DR",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253022737",
"telephone_number": "304-541-9820",
"fax_number": "855-815-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SHREWSBURY ST",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253011211",
"telephone_number": "304-541-9820",
"fax_number": "855-815-7553"
}
],
"practiceLocations": [
{
"address_1": "16 Leon Sullivan Way",
"address_2": "Ste. 300",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253012402",
"country_code": "US",
"telephone_number": "304-346-9689 x40",
"fax_number": "304-345-4601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSO",
"first_name": "DIANA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "1797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BCBS #",
"identifier": "001803458",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND. BCBS PROVIDER #",
"identifier": "001850788",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.