Diane Hallila Passero, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3602 Issued in MD

Practice address

2000 Marbury Dr
District Heights, MD 20747-2334

Phone

(301) 952-5498

NPI assigned

May 7, 2013

Last updated

May 7, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• District Heights Family & Youth Services Bureau

  • Professional Counselor
  • District Heights, MD
  • NPI 1063827061
  NPD (past)
• District Heights Family and Youth Services Bureau

  • Community/Behavioral Health Agency
  • District Heights, MD
  • NPI 1659822906
  NPD (past)

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1902241763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 WAKEFIELD RD",
            "city": "EDGEWATER",
            "state": "MD",
            "postal_code": "210374651",
            "telephone_number": "503-522-0398",
            "fax_number": "301-952-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MARBURY DR",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472334",
            "telephone_number": "301-952-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSERO",
        "first_name": "DIANE",
        "middle_name": "HALLILA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taiwo Ozegbe
• Kayonna Oketta Page
• Ronald Ray Page
• John J. Park
• Parkland Pharmacy Inc.
• Pathway Weight Loss LLC
• Patient Centered Health Care LLC (Patient-Centered Urgent and Primary Care)
• Kayla Patterson
• Rowena Vendette Perry-McClough, PARTICIPANT DIRECTED
• Boi Pessima, HHA

• Professional Counselor in District Heights, MD
• Providers in District Heights, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.