Mary Linda Diaz, PH.D., LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

61026 Issued in TX

Practice address

4642 Oso Pkwy
Corpus Christi, TX 78413-5269

Phone

(361) 739-2113

NPI assigned

Aug 13, 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1043402209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 OSO PKWY",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135269",
            "telephone_number": "361-850-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 OSO PKWY",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135269",
            "telephone_number": "361-739-2113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5934 S Staples St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784133800",
            "country_code": "US",
            "telephone_number": "361-739-2113",
            "fax_number": "361-992-3355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARY",
        "middle_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Diaz de Leon, P.A.
• Aaron Vasquez Diaz, LMSW-AP
• Ashley Nicole Diaz, DNP, CRNA
• Evelyn Diaz
• Marcelo Diaz
• Roberto Fabricio Diaz, M.D.
• San Juanita Diaz, MS, LPC
• Madison Elaine Dibble, RPH
• Dickson Hearing Center
• Christian M Dickson, DPM

• Mental Health Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.