Miguel Elias Diaz-Wege, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

636 Plank Rd Ste 107
Clifton Park, NY 12065-4885

Phone

(518) 290-7988

NPI assigned

Jun 14, 2011

Last updated

May 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vista Mental Health Counseling, PLLC

  • Mental Health Counselor
  • Clifton Park, NY
  • NPI 1093238594
  NPD

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1023303401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 PLANK RD STE 107",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654885",
            "telephone_number": "518-290-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 PLANK RD STE 107",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654885",
            "telephone_number": "518-290-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-WEGE",
        "first_name": "MIGUEL",
        "middle_name": "ELIAS",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Desousa, MSED, CCC-SLP
• Elizabeth Dewjee, ATR-BC, LPAT
• Satwinder Dhanjal-Garcha, D.C.
• Karen Roeske Di Palma, RN
• Dialysis Clinic Inc (DCI-Rubin Dialysis Centers)
• Brenda Dickenson, LMT
• Kimberly Dickson, RPH
• Andrea Lilly Dievendorf, DC
• Michael Joseph Dillon, M.S., R.PH.
• Dinapoli & Dinapoli, Inc.

• Mental Health Counselor in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.