Individual provider Active NPI

Diana Lee Worley, L. M. F. T.

  • Marriage & Family Therapist
  • Palm Harbor, FL
National Provider Identifier
1255849568
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4248 Issued in FL
Practice address
31640 US Highway 19 N Ste 2
Palm Harbor, FL 34684-3738
Phone
(615) 512-2178
NPI assigned
Jan 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4248 FL Primary

Addresses

Primary practice location

31640 US Highway 19 N Ste 2
Palm Harbor, FL 34684-3738

Mailing address

31640 US Highway 19 N Ste 2
Palm Harbor, FL 34684-3738
Phone (615) 512-2178

Other practice location 1

250 Catalonia Ave Ste 700
Coral Gables, FL 33134-6727
Phone (305) 445-5981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 15, 2024 through Jul 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT4248FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Graceworks Wellness, LLC CurrentSince Mar 27, 2022 Accepting new patients

Locations

31640 US Highway 19 N
Ste 2
Palm Harbor, FL 34684
Phone (615) 512-2178

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": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1255849568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31640 US HIGHWAY 19 N STE 2",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843738",
            "telephone_number": "615-512-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31640 US HIGHWAY 19 N STE 2",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843738",
            "telephone_number": "615-512-2178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Catalonia Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331346727",
            "country_code": "US",
            "telephone_number": "305-445-5981",
            "fax_number": "305-445-5982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "DIANA",
        "middle_name": "LEE",
        "credential": "L. M. F. T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.