Individual provider Active NPI

Diana Carolina Marroquin Jimenez, LCMHC

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1114374535
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12288 Issued in NC
Practice address
8392 Six Forks Rd Ste 204
Raleigh, NC 27615-3061
Phone
(919) 307-1847
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12288 NC
Mental Health Counselor 101YM0800X 12288 NC Primary

Addresses

Primary practice location

8392 Six Forks Rd Ste 204
Raleigh, NC 27615-3061

Mailing address

8392 Six Forks Rd Ste 204
Raleigh, NC 27615-3061
Phone (252) 258-9936

Other practice location 1

2515 Watson Ave Ste 111
Sanford, NC 27332-6173
Phone (919) 307-1847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327003303 NC Practitioner - Mental Health Counselor 7911344809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12288NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1114374535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8392 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153061",
            "telephone_number": "252-258-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8392 SIX FORKS RD STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153061",
            "telephone_number": "919-307-1847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Watson Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273326173",
            "country_code": "US",
            "telephone_number": "919-307-1847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARROQUIN JIMENEZ",
        "first_name": "DIANA",
        "middle_name": "CAROLINA",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12288",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.