Active NPI
Jennifer G Diehl, LCSW
- Mental Health Counselor
- Mechanicsville, VA
National Provider Identifier
1942307061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904004730
- Practice address
- 9044 Mann Dr
Mechanicsville, VA 23116-2312 - Phone
- (804) 647-9802
- Fax
- (804) 746-5150
- NPI assigned
- Sep 20, 2006
- Last updated
- Apr 9, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0904004730 | VA | Primary |
Addresses
Primary practice location
9044 Mann Dr
Mechanicsville, VA 23116-2312
Mailing address
PO Box 3372
Mechanicsville, VA 23116-0032
Phone (804) 647-9802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004945425 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9044 Mann Dr
Mechanicsville, VA 23116-2312
Phone (804) 647-9802
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904004730 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral & Counseling Services of Hanover, LLC | Current | Accepting new patients | |
| Hanover County Board of Supervisors | Mental Health | Past | Accepting new patients |
| Hanover County Board of Supervisors | Past | Accepting new patients |
Locations
9044 Mann Dr
Mechanicsvlle, VA 23116
Phone (804) 647-9802
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Mechanicsville, VA
- NPI 1073932604
-
- Mental Health Counselor
- Ashland, VA
- NPI 1104858653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1942307061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3372",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231160032",
"telephone_number": "804-647-9802",
"fax_number": "804-746-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9044 MANN DR",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162312",
"telephone_number": "804-647-9802",
"fax_number": "804-746-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHL",
"first_name": "JENNIFER",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904004730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004945425",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.