Individual provider Active NPI

Diane Marie Han, LPC

  • Mental Health Counselor
  • Glen Allen, VA
National Provider Identifier
1962467449
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701003467 Issued in VA
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

Updated by the provider on Mar 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
0701003467VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Douglas Mental Health CurrentSince Mar 26, 2023 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.

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.

Verify at the official NPI Registry.