Individual provider Active NPI

Diane Isles, MA

  • Mental Health Counselor
  • Wakefield, MA
National Provider Identifier
1992046940
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7 Lincoln St Ste 216
Wakefield, MA 01880-3021
Phone
(781) 328-1904
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 10316 MA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

7 Lincoln St Ste 216
Wakefield, MA 01880-3021

Mailing address

7 Lincoln St Ste 216
Wakefield, MA 01880-3021
Phone (781) 328-1904

Other names 1

  • Miss Diane Giannino Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CSGB Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521000038 MA Practitioner - Mental Health Counselor 3173013190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7 Lincoln St
Suite 216
Wakefield, MA 01880-3021

7 Lincoln St
Suite 216
Wakefield, MA 01880-3059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
10316MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Greater Boston Mental Health CurrentSince Jun 8, 2025 Accepting new patients
DCS Mental Health, Inc Mental Health PastSince Jan 1, 2009 Accepting new patients

Locations

7 Lincoln St
#216
Wakefield, MA 01880
Phone (781) 328-1904

7 Lincoln St
Ste 216
Wakefield, MA 01880
Phone (781) 328-1904

Organizations & group practices 2

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": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1992046940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LINCOLN ST STE 216",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803021",
            "telephone_number": "781-328-1904",
            "fax_number": "781-396-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LINCOLN ST STE 216",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018803021",
            "telephone_number": "781-328-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLES",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10316",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CSGB",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "151 Mystic Ave",
            "address_2": "Suite 6",
            "city": "Medford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021554632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GIANNINO",
            "prefix": "MISS",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wakefield, MA

Sources for this page

Verify at the official NPI Registry.