Individual provider Active NPI

Diana Maria Villalobos, AMFTI - ASSOCIATE MA

  • Mental Health Counselor
  • East Wenatchee, WA
National Provider Identifier
1962528950
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
68791 Issued in CA
Practice address
220 Eastmont Ave Childrens Home Society of Washington
Suite B
East Wenatchee, WA 98802
Phone
(509) 885-9090
Fax
(509) 884-0118
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 68791 CA Primary

Addresses

Primary practice location

220 Eastmont Ave Childrens Home Society of Washington
Suite B
East Wenatchee, WA 98802

Mailing address

1250 Central Ave
S1
Wenatchee, WA 98801
Phone (323) 253-0836

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
68791CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1962528950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CENTRAL AVE",
            "address_2": "S1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98801",
            "telephone_number": "323-253-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EASTMONT AVE CHILDRENS HOME SOCIETY OF WASHINGTON",
            "address_2": "SUITE B",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "98802",
            "telephone_number": "509-885-9090",
            "fax_number": "509-884-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "DIANA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "AMFTI - ASSOCIATE MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "68791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.