DIANA MASSUCCO (NPI# 1457526493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457526493 |
| Entity Type | Individual |
| Full Name | DIANA MASSUCCO |
| Credential | LMHC |
| Practice Address |
2704 I St Ne Auburn WA 98002-2411 |
| Practice Telephone | 2538337444 |
| Practice Fax Number | 2538330480 |
| Mailing Telephone | 2538337444 |
| Mailing Fax Number | 2538330480 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH00002641 | WA | Behavioral Health & Social Service Providers |
| Street Address |
2704 I ST NE |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639183452 | Deborah Marie Kabisch | Nurse Practitioner | 2704 I St Ne, Auburn, WA 98002-2411 | 2006-07-28 |
| 1861008104 | Connor Burgess | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2020-09-22 |
| 1962022905 | Brianna Gunderson | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2020-04-20 |
| 1932733326 | Jordan Bonk | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2020-02-25 |
| 1457998304 | Naomi Talty | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-12-10 |
| 1215573985 | Delaney O'brien | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-11-18 |
| 1285278119 | Anthony Toomer | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-11-04 |
| 1275177107 | Audra Wilson | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-11-04 |
| 1932741931 | Theresa Torres | Peer Specialist | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-10-10 |
| 1821648429 | Cai Hendrickson | Counselor | 2704 I St Ne, Auburn, WA 98002-2411 | 2019-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552864 | Nicole Beth Williams | Counselor | 701 High St Ste 205, Auburn, CA 95603-4734 | 2020-06-09 |
| 1801432547 | Cynthia Karen Bowman | Counselor | 240 Ginger Dr, Auburn, CA 95603-5714 | 2019-11-18 |
| 1477197432 | Monica R Molt | Counselor | 166 N Gay St Ste 21, Auburn, AL 36830-2004 | 2019-11-03 |
| 1902454291 | Sherry Monteith | Counselor | 178 Court St, Auburn, ME 04210-6917 | 2019-08-29 |
| 1861976813 | Joanna Hardman Treadwell | Counselor | 923 Stage Rd Ste M, Auburn, AL 36830-5157 | 2018-09-15 |
| 1851877963 | Morgan Jenkins | Counselor | 318 N College St Ste C, Auburn, AL 36830-3815 | 2018-07-12 |
| 1023594207 | Cynthia Caroline Williams | Counselor | 48 Sword St Ste 101, Auburn, MA 01501-2162 | 2018-07-11 |
| 1376032730 | Cindra Ann Jones | Counselor | 230 Auburn Way S Ste 1&2b, Auburn, WA 98002-5451 | 2018-05-01 |
| 1720585557 | Albert Walter Thomas | Counselor | 355 N College St, Auburn, AL 36830-3814 | 2018-04-09 |
| 1558874222 | Laura Dawn Logan | Counselor | 145 Fulweiler Ave Ste 200, Auburn, CA 95603-4536 | 2017-11-15 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.