Active NPI
Diane Soucy, MA, LPC, NCC, CRC
- Mental Health Counselor
- Lubbock, TX
National Provider Identifier
1104929447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15970
- Practice address
- 4321 Brownfield Highway
Lubbock, TX 79407 - Phone
- (806) 786-9508
- NPI assigned
- Sep 5, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15970 | TX | Primary |
Addresses
Primary practice location
4321 Brownfield Highway
Lubbock, TX 79407
Mailing address
4321 Brownfield Highway
Lubbock, TX 79407
Phone (806) 786-9508
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15970 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104929447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 BROWNFIELD HIGHWAY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79407",
"telephone_number": "806-786-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 BROWNFIELD HIGHWAY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79407",
"telephone_number": "806-786-9508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUCY",
"first_name": "DIANE",
"name_prefix": "Ms.",
"credential": "MA, LPC, NCC, CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "15970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- Mark H. Soriano, MD
- Sydney Laine Sorley, APRN FNP-C
- Christopher Lee Sosebee
- Azaira Sotelo, MSN, RN, CCRN
- Jana Rae Soto, PMHNP, FNP
- Ashley Michelle Souder, SLP
- South Central Physicians PLLC
- South Plains Academy
- South Plains Community Action Association, Inc.
- South Plains Community Action Association, Inc.
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.