Gerardo Diaz III

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178009659 Issued in IL

Practice address

4745 Main St Ste 207
Lisle, IL 60532-1758

Phone

(630) 442-1895

NPI assigned

Jun 22, 2026

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

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.

• Your Story Counseling, P.C.

  • Clinical Social Worker
  • Lisle, IL
  • NPI 1306248497
  NPD (past)

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1013843739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 W 95TH ST APT 23",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532637",
            "telephone_number": "708-966-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 MAIN ST STE 207",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321758",
            "telephone_number": "630-442-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "GERARDO",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178009659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Delgado, M.S., BCBA
• Amanda Demas
• James Derr
• Deepa Deshmukh, MPH,RD,LDN
• Brianna Diaz
• Dexter Dimalibot
• Thomas Leo Dimatteo, MD
• Kamil Dirilten, MS STUDENT COUNSELOR
• DMB Dental, LTD
• Coreen Rose Donofrio

• Mental Health Counselor in Lisle, IL
• Providers in Lisle, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.