Individual provider Active NPI

Diane G Buscarello, LPC

  • Professional Counselor
  • Trinidad, CO
National Provider Identifier
1205058203
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0263 Issued in CO
Practice address
127 N. Commercial St.
Unit 212
Trinidad, CO 81082-8108
Phone
(719) 661-3619
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0263 CO Primary

Addresses

Primary practice location

127 N. Commercial St.
Unit 212
Trinidad, CO 81082-8108

Mailing address

917 Atchison Ave
Trinidad, CO 81082-2211
Phone (719) 661-3619

Other practice location 1

10 Boulder Crescent St # 101-F
Colorado Springs, CO 80903-3344
Phone (719) 661-3619

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

LicenseStateTypeSpecialty
0263COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1205058203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 ATCHISON AVE",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822211",
            "telephone_number": "719-661-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N. COMMERCIAL ST.",
            "address_2": "UNIT 212",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810828108",
            "telephone_number": "719-661-3619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Boulder Crescent St # 101-F",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809033344",
            "country_code": "US",
            "telephone_number": "719-661-3619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCARELLO",
        "first_name": "DIANE",
        "middle_name": "G",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinidad, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.