Active NPI
Maria M Diz, LMHC
- Professional Counselor
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH16824
- Practice address
- 410 Evernia St Apt 221
West Palm Beach, FL 33401-5433 - Phone
- (561) 248-4831
- NPI assigned
- Oct 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH16824 | FL | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
410 Evernia St Apt 221
West Palm Beach, FL 33401-5433
Mailing address
410 Evernia St Apt 221
West Palm Beach, FL 33401-5433
Phone (561) 248-4831
Other practice location 1
1411 N Flagler Dr Ste 9300B
West Palm Beach, FL 33401-3404
Phone (561) 248-4831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Jacksonville, FL 32211
Phone (415) 360-3348
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16824 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Health, Inc. | Current | Accepting new patients | |
| Creative Care Healing Counseling & Consulting | Professional | Current | Accepting new patients |
| Brightside Medical, P.C. | Past | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355
1411 N Flagler Dr
Ste 9300B
West Palm Beach, FL 33401
Phone (561) 248-4831
Organizations & group practices 3
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.
-
- Professional Counselor
- West Palm Beach, FL
- NPI 1639790629
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1801355482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588204800000",
"number": "1073918686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 EVERNIA ST APT 221",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015433",
"telephone_number": "561-248-4831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 EVERNIA ST APT 221",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015433",
"telephone_number": "561-248-4831"
}
],
"practiceLocations": [
{
"address_1": "1411 N Flagler Dr Ste 9300B",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334013404",
"country_code": "US",
"telephone_number": "561-248-4831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIZ",
"first_name": "MARIA",
"middle_name": "M",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH16824",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
- Yvonne Dixon-Dyer
- Charmaine Lorraine Dixon, APRN
- Clarence Dixon
- Kyler Dixon
- Dixon's Home Care LLC
- DMD Pharmacy Services LLC (The Village Pharmacy)
- DMD Pharmacy Services,LLC (the village pharmacy #3)
- DME Medical Supplies & Complex Rehab Inc. (DME Medical Supplies)
- DMHS Medical & Wellness LLC
- Matthew Barrett Dobbs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.
- 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.