NPIMap

Organization Active NPI

Diversified Lifestyle Services

  • Counselor
  • Washington, DC
National Provider Identifier
1205213527
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PRC14152 Issued in DC
Legal business name
DIVERSIFIED LIFESTYLE SERVICES
Doing business as
Diversified Lifestyle Services
Practice address
1300 I St NW
Suite 400E
Washington, DC 20005-3314
Phone
(301) 804-8279
NPI assigned
May 6, 2015
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
LANCASTER, FRAZIER, AND ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Dr. Antoinette Lancaster, LPC, LCPC, NCC, MACNPI 1124360516
Title
Executive Director
Phone
(202) 239-5563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PRC14152 DC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CACII1131 DC

Addresses

Primary practice location

1300 I St NW
Suite 400E
Washington, DC 20005-3314

Mailing address

137 National PLZ
Suite 300
Oxon Hill, MD 20745-1152
Phone (240) 273-3191

Other identifiers 1

IdentifierTypeStateIssuer
755104500MedicaidMD

Other names 1

  • Diversified Lifestyle Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diversified Lifestyle Services7 organizations share this tax ID, including this one
Part of
Diversified Lifestyle Services

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1205213527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 NATIONAL PLZ",
            "address_2": "SUITE 300",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451152",
            "telephone_number": "240-273-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 I ST NW",
            "address_2": "SUITE 400E",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200053314",
            "telephone_number": "301-804-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED LIFESTYLE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANCASTER, FRAZIER, AND ASSOCIATES, LLC",
        "enumeration_date": "2015-05-06",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-239-5563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, LCPC, NCC, MAC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "DC",
            "license": "PRC14152",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACII1131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "755104500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Lifestyle Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.