Active NPI
Erin Colette Diedling, M.ED., LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1174641286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180008568
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178004009 | IL | MD | Mental Health Counselor |
| 180008568 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Chicago, IL
- NPI 1790117885
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.