Individual provider Active NPI

Diana Lynne Kraft, LCPC

  • Mental Health Counselor
  • Leonardtown, MD
National Provider Identifier
1154511749
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC1273 Issued in MD
Practice address
41660 Courthouse Drive, Suite 201a
Leonardtown, MD 20650
Phone
(240) 472-3522
Fax
(410) 882-1079
NPI assigned
Jul 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC1273 MD Primary

Addresses

Primary practice location

41660 Courthouse Drive, Suite 201a
Leonardtown, MD 20650

Mailing address

1295 Hollidge Rd
Lusby, MD 20657-2682
Phone (410) 231-2124

Other practice location 1

1295 Hollidge Rd
Lusby, MD 20657-2682
Phone (410) 231-2124

Other identifiers 1

IdentifierTypeStateIssuer
338215000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240729000813 MD Practitioner - Mental Health Counselor 0042756447 Reassigns benefits to 1 organization

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)

41660 Courthouse Dr
Ofc 201a
Leonardtown, MD 20650-3887
Phone (240) 472-3522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1273MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Maryland Counseling LLC CurrentSince Apr 29, 2024 Accepting new patients
Southern Maryland Counseling, LLC Past Accepting new patients
Southern Maryland Counseling, LLC Past Accepting new patients

Locations

41660 Courthouse Dr
Ofc 201A
Leonardtown, MD 20650
Phone (240) 472-3522

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.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1154511749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 HOLLIDGE RD",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206572682",
            "telephone_number": "410-231-2124",
            "fax_number": "410-882-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41660 COURTHOUSE DRIVE, SUITE 201A",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "20650",
            "telephone_number": "240-472-3522",
            "fax_number": "410-882-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1295 Hollidge Rd",
            "address_purpose": "LOCATION",
            "city": "Lusby",
            "state": "MD",
            "postal_code": "206572682",
            "country_code": "US",
            "telephone_number": "410-231-2124",
            "fax_number": "410-882-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAFT",
        "first_name": "DIANA",
        "middle_name": "LYNNE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-30",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC1273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338215000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.