Individual provider Active NPI

Erin Colette Diedling, M.ED., LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1174641286
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008568 Issued in IL
Practice address
3523 N Lincoln Ave
Chicago, IL 60657-1137
Phone
(773) 263-3222
Fax
(773) 929-6762
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178004009 IL
Professional Counselor 101YP2500X 180008568 IL Primary

Addresses

Primary practice location

3523 N Lincoln Ave
Chicago, IL 60657-1137

Mailing address

1926 W Roscoe
#3S
Chicago, IL 60657-1051
Phone (773) 263-3222

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 Education

State licenses

LicenseStateTypeSpecialty
178004009ILMDMental Health Counselor
180008568ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Loft Counseling, P.C, Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1174641286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W ROSCOE",
            "address_2": "#3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571051",
            "telephone_number": "773-263-3222",
            "fax_number": "773-929-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571137",
            "telephone_number": "773-263-3222",
            "fax_number": "773-929-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDLING",
        "first_name": "ERIN",
        "middle_name": "COLETTE",
        "name_prefix": "Ms.",
        "credential": "M.ED., LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178004009",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.