Individual provider Active NPI

Angela Diescher, LPCC

  • Professional Counselor
  • Somerset, KY
National Provider Identifier
1235387481
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
103383 Issued in KY
Practice address
149 Enterprise Dr
Somerset, KY 42501-6155
Phone
(606) 679-6995
Fax
(606) 451-9465
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 103383 KY Primary

Addresses

Primary practice location

149 Enterprise Dr
Somerset, KY 42501-6155

Mailing address

149 Enterprise Dr
Somerset, KY 42501-6155
Phone (606) 679-6995

Other identifiers 1

IdentifierTypeStateIssuer
30604011MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240805001312 KY Practitioner - Mental Health Counselor 8123565413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Somerset Mental Health, PSCGroup PAC ID 1254320716, 6 clinicians

Practice addresses (Care Compare)

149 Enterprise Dr
Somerset, KY 42501-6155
Phone (606) 679-6995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Mental Health, PSC CurrentSince Jun 25, 2024 Accepting new patients
Grey Counseling Services, LLC Past Accepting new patients

Locations

933 Russell Rd
Ste 93
Columbia, KY 42728
Phone (270) 384-1736

149 Enterprise Dr
Somerset, KY 42501
Phone (606) 679-6995

Organizations & group practices 2

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1235387481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 ENTERPRISE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016155",
            "telephone_number": "606-679-6995",
            "fax_number": "606-451-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ENTERPRISE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425016155",
            "telephone_number": "606-679-6995",
            "fax_number": "606-451-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESCHER",
        "first_name": "ANGELA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "103383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30604011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.