Individual provider Active NPI

Lisa Marian Diamond-Raab, MA, LPC, ATR, CP

  • Professional Counselor
  • Washington, DC
National Provider Identifier
1023053162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PRC1117 Issued in DC
Practice address
4900 Massachusetts Ave NW
Suite 111
Washington, DC 20016-4358
Phone
(202) 244-6989
Fax
(301) 320-6369
NPI assigned
Jun 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PRC1117 DC Primary

Addresses

Primary practice location

4900 Massachusetts Ave NW
Suite 111
Washington, DC 20016-4358

Mailing address

4900 Massachusetts Ave NW
Suite 111
Washington, DC 20016-4358
Phone (202) 244-6989

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PRC1117DCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023053162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MASSACHUSETTS AVE NW",
            "address_2": "SUITE 111",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164358",
            "telephone_number": "202-244-6989",
            "fax_number": "301-320-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MASSACHUSETTS AVE NW",
            "address_2": "SUITE 111",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164358",
            "telephone_number": "202-244-6989",
            "fax_number": "301-320-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND-RAAB",
        "first_name": "LISA",
        "middle_name": "MARIAN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, ATR, CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "PRC1117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • 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.