NPIMap

Organization Active NPI

Diversified Lifestyle Services

  • Mental Health Counselor
  • Washington, DC
National Provider Identifier
1215357686
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PRC14152 Issued in DC
Legal business name
DIVERSIFIED LIFESTYLE SERVICES
Doing business as
Diversified Lifestyle Services
Practice address
1629 K St NW
Suite 300
Washington, DC 20006-1602
Phone
(202) 239-5563
NPI assigned
Apr 23, 2014
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 LancasterNPI 1124360516
Title
Executive Director
Phone
(202) 239-5563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CACII1131 DC
Mental Health Counselor 101YM0800X PRC14152 DC Primary

Addresses

Primary practice location

1629 K St NW
Suite 300
Washington, DC 20006-1602

Mailing address

14303 Kenlon LN
Accokeek, MD 20607-3745

Other names 1

  • Diversified Lifestyle Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lancaster Frazier and Associates LLC7 organizations share this tax ID, including this one
Part of
Lancaster Frazier and Associates LLC

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": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1215357686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14303 KENLON LN",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206073745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 K ST NW",
            "address_2": "SUITE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061602",
            "telephone_number": "202-239-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED LIFESTYLE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANCASTER, FRAZIER, AND ASSOCIATES, LLC",
        "enumeration_date": "2014-04-23",
        "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."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "DC",
            "license": "CACII1131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PRC14152",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.