Active NPI
Diane Marie Han, LPC
- Mental Health Counselor
- Glen Allen, VA
National Provider Identifier
1962467449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701003467
- Practice address
- 4200 Innslake Dr Ste 300
Glen Allen, VA 23060-6772 - Phone
- (804) 282-4000
- Fax
- (804) 800-4533
- NPI assigned
- Apr 19, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701003467 | VA | |
| Mental Health Counselor | 101YM0800X | 0701003467 | VA | Primary |
Addresses
Primary practice location
4200 Innslake Dr Ste 300
Glen Allen, VA 23060-6772
Mailing address
4200 Innslake Dr Ste 300
Glen Allen, VA 23060-6772
Phone (804) 282-4000
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 |
|---|---|---|---|
| 0701003467 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamela Douglas | Mental Health | Current | Accepting new patients |
Locations
4200 Innslake Dr
Ste 300
Glen Allen, VA 23060
Phone (804) 282-4000
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.
-
- Mental Health Counselor
- Richmond, VA
- NPI 1952582850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1962467449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 INNSLAKE DR STE 300",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606772",
"telephone_number": "804-282-4000",
"fax_number": "804-800-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 INNSLAKE DR STE 300",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230606772",
"telephone_number": "804-282-4000",
"fax_number": "804-800-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701003467",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701003467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.