Diane Lynn Petry, MA, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88000447A Issued in IN

Practice address

9840 Westpoint Dr Ste 200
Indianapolis, IN 46256-3368

Phone

(317) 585-1060

Fax

(317) 585-9811

NPI assigned

Jul 25, 2018

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1972080661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 N 600 E",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461409036",
            "telephone_number": "317-409-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9840 WESTPOINT DR STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563368",
            "telephone_number": "317-585-1060",
            "fax_number": "317-585-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000447A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Petrowich, RN, BSN
• Anne Julane Petroy, LCSW
• Mariana C Petrozzi, MD
• Alexa Petrucciani
• Lori S Petrucciani, N.D.
• Douglas Scott Petry, RPH
• Donovan Pettiford
• Johnslynn Jalayne Pettiford
• Jordan E Pettiford
• Jasmin Pettigrew, PHARM D

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.