Diane Desylvia, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1597 Issued in OR

Practice address

3570 SW River Pkwy
Ste. 1709
Portland, OR 97239-4534

Phone

(503) 636-4767

NPI assigned

Jul 12, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Diane Homes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1295047751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 SW RIVER PKWY",
            "address_2": "STE. 1709",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394534",
            "telephone_number": "503-636-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 SW RIVER PKWY",
            "address_2": "STE. 1709",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394534",
            "telephone_number": "503-636-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESYLVIA",
        "first_name": "DIANE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "1597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HOMES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.