Active NPI
Kristen Leslie Diamond, PH.D.
- Counseling Psychologist
- Lewisville, TX
National Provider Identifier
1043480411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 61953
- Practice address
- 105 Kathryn Dr
Suite #800
Lewisville, TX 75067-4216 - Phone
- (817) 706-8575
- Fax
- (817) 430-3604
- NPI assigned
- Mar 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 61953 | TX | Primary |
Addresses
Primary practice location
105 Kathryn Dr
Suite #800
Lewisville, TX 75067-4216
Mailing address
5224 Sun Meadow Dr
Flower Mound, TX 75022-5680
Phone (817) 706-8575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260420000699 | TX | Practitioner - Mental Health Counselor | 8527358993 | Practice locations: Flower Mound, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2913 Corporate Cir
Suite 100
Flower Mound, TX 75028-5616
Phone (817) 706-8575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61953 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204416000000",
"number": "1043480411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5224 SUN MEADOW DR",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750225680",
"telephone_number": "817-706-8575",
"fax_number": "817-430-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 KATHRYN DR",
"address_2": "SUITE #800",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750674216",
"telephone_number": "817-706-8575",
"fax_number": "817-430-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "KRISTEN",
"middle_name": "LESLIE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-02",
"last_updated": "2008-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "61953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.