Diane E. McCollum, M.S.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

18464 Issued in TX

Practice address

4225 Office Pkwy
Dallas, TX 75204-3628

Phone

(214) 821-6505

Fax

(214) 821-6504

NPI assigned

Sep 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Diane McCollum Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1215034897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9227 E LAKE HIGHLANDS DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182722",
            "telephone_number": "214-324-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 OFFICE PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043628",
            "telephone_number": "214-821-6505",
            "fax_number": "214-821-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "DIANE",
        "middle_name": "E.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "18464",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61481",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "5163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MCCOLLUM",
            "credential": "LPC, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tara Lynn McClure, OTR
• Courtney McClurkin, DPM
• Meagan McCluskey, DPT
• Kierra McCluster
• Andrew David McCollum, MD
• Donna Marie McCollum, LMSW
• Ross McCollum, CRNA
• Iris Nadia McColm, PA-C
• Leeanna R McComas, BS
• William Frederick McComas, MD

• Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.