Dianne Marie Samp, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.007910 Issued in IL

Practice address

484 Hevern Dr
Wheaton, IL 60189-7327

Phone

(630) 251-5644

NPI assigned

Sep 16, 2011

Last updated

Sep 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Peaceful Mind

  • Professional Counselor
  • Wheaton, IL
  • NPI 1396636809
  NPD Authorized official

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1265714109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 HEVERN DRIVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60189",
            "telephone_number": "630-251-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 HEVERN DR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897327",
            "telephone_number": "630-251-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMP",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmaine Reyes Salcedo II, PT
• Osvaldo Salcedo, LCSW
• Colette Loren Salinas
• Elizabeth S Saline, LMT, BCTMB
• Bernard Baylon Salvador, M.D.
• Arlene Samuel, M.S., LCPC
• Leila Leonardo Vale Sanati
• Karina Sanchez Castro
• Crystal Jasmin Sanchez Silva, LPC
• Ana Patricia Sanchez

• Professional Counselor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.