Individual provider Active NPI

Diane Yvonne Hattler, LPC

  • Mental Health Counselor
  • Manassas, VA
National Provider Identifier
1972831659
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701004292 Issued in VA
Practice address
10043 Nokesville Rd
House of Mercy
Manassas, VA 20110-4131
Phone
(703) 659-1636
Fax
(703) 659-0081
NPI assigned
Nov 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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 0701004292 VA Primary

Addresses

Primary practice location

10043 Nokesville Rd
House of Mercy
Manassas, VA 20110-4131

Mailing address

10043 Nokesville Rd
House of Mercy
Manassas, VA 20110-4131
Phone (703) 659-1636

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
0701004292VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1972831659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10043 NOKESVILLE RD",
            "address_2": "HOUSE OF MERCY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104131",
            "telephone_number": "703-659-1636",
            "fax_number": "703-659-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10043 NOKESVILLE RD",
            "address_2": "HOUSE OF MERCY",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104131",
            "telephone_number": "703-659-1636",
            "fax_number": "703-659-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTLER",
        "first_name": "DIANE",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701004292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.