Diana L Calcott, MA LP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401005659 Issued in MI

Practice address

830 Jordan Lake St
Lake Odessa, MI 48849-1270

Phone

(616) 374-7410

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Jordan Christian Counseling

  • Counselor
  • Lake Odessa, MI
  • NPI 1447307798
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013064369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 WOODSIDE TRL NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042580",
            "telephone_number": "616-453-1835",
            "fax_number": "616-453-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 JORDAN LAKE ST",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491270",
            "telephone_number": "616-374-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALCOTT",
        "first_name": "DIANA",
        "middle_name": "L",
        "credential": "MA LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401005659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Alvaro
• Clarence Richard Barnett, M.D.
• Patti Jo Beglin
• Laurie S Braker, MD
• Brian W Swanton MD PC
• Clarence Richard Barnett MD PLC
• Erica Conn, LMSW
• Michael J Crete, DDS
• Andrea R Cusack
• Vicki Davison, LLP

• Counselor in Lake Odessa, MI
• Providers in Lake Odessa, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.