Active NPI
Diamond B Warren
- Counselor
- Chicago, IL
National Provider Identifier
1124734124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180011150
- Practice address
- 169 W Huron St Unit 605
Chicago, IL 60654-3611 - Phone
- (312) 806-1662
- NPI assigned
- Jan 24, 2023
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180011150 | IL | Primary |
Addresses
Primary practice location
169 W Huron St Unit 605
Chicago, IL 60654-3611
Mailing address
169 W Huron St Unit 605
Chicago, IL 60654-3611
Phone (312) 806-1662
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | diamondbgwarren@gmail.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180011150 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1124734124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 W HURON ST UNIT 605",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543611",
"telephone_number": "312-806-1662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 W HURON ST UNIT 605",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606543611",
"telephone_number": "312-806-1662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "DIAMOND",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180011150",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "diamondbgwarren@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "169 W Huron St Unit 605",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606543611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.