Individual provider Active NPI

Diane Elizabeth Marr Longmire, MSW, LMHC

  • Mental Health Counselor
  • Mount Vernon, WA
National Provider Identifier
1205133881
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60266648 Issued in WA
Practice address
811 Cleveland Ave Ste 104
Mount Vernon, WA 98273-4210
Phone
(360) 474-3072
Fax
(888) 538-7694
NPI assigned
Feb 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CG 60122469 WA
Mental Health Counselor 101YM0800X LH60266648 WA Primary

Addresses

Primary practice location

811 Cleveland Ave Ste 104
Mount Vernon, WA 98273-4210

Mailing address

811 Cleveland Ave Ste 104
Mount Vernon, WA 98273-4210
Phone (360) 474-3072

Other names 1

  • Ms. Diane Elizabeth Marr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250129001030 WA Practitioner - Mental Health Counselor 5193265981 Practice locations: Mount Vernon, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

406 S 1St St
Suite 305
Mount Vernon, WA 98273-3897
Phone (360) 424-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG 60122469WAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Skagit Behavioral Health 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": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1205133881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CLEVELAND AVE STE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734210",
            "telephone_number": "360-474-3072",
            "fax_number": "888-538-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CLEVELAND AVE STE 104",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734210",
            "telephone_number": "360-474-3072",
            "fax_number": "888-538-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARR LONGMIRE",
        "first_name": "DIANE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "CG 60122469",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60266648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MARR",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.