Individual provider Active NPI

Diana Lyn James, MA, LCPC, LMFT

  • Mental Health Counselor
  • Edgecomb, ME
National Provider Identifier
1174703201
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MF1981 AND CC2148 Issued in ME
Practice address
428 Rte 1
Edgecomb, ME 04455
Phone
(207) 882-6700
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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 MF1981 AND CC2148 ME Primary

Addresses

Primary practice location

428 Rte 1
Edgecomb, ME 04455

Mailing address

3 Cove Point Rd
Southport, ME 04576-3051
Phone (207) 633-2267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: No
  • 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
I20240130000664 ME Practitioner - Mental Health Counselor 9234582925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MF1981 AND CC2148MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crisis and Counseling Centers, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

10 Caldwell Rd
Augusta, ME 04330
Phone (207) 626-3448

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1174703201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COVE POINT RD",
            "city": "SOUTHPORT",
            "state": "ME",
            "postal_code": "045763051",
            "telephone_number": "207-633-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 RTE 1",
            "city": "EDGECOMB",
            "state": "ME",
            "postal_code": "04455",
            "telephone_number": "207-882-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "DIANA",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MF1981 AND CC2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgecomb, ME

Sources for this page

Verify at the official NPI Registry.