Mark Diddens, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

150.110236 Issued in IL

Practice address

2000 Glen Echo Rd Ste 200
Nashville, TN 37215-2898

Phone

(615) 649-8656

NPI assigned

Jan 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Family Counseling Services of Northern Illinois

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1639241748
  NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686355200000",
    "number": "1326754151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 BROADWAY APT 609",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032767",
            "telephone_number": "815-541-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GLEN ECHO RD STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152898",
            "telephone_number": "615-649-8656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 25th Ave N Ste 601",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031631",
            "country_code": "US",
            "telephone_number": "815-541-1741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "631 N Longwood St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611074263",
            "country_code": "US",
            "telephone_number": "815-692-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIDDENS",
        "first_name": "MARK",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-06-10",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "14623",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "150.110236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Dickson
• Addison J Dickson
• Natalie R Dickson, M.D.
• Jacob Diddens, LMSW
• Jeannette Diddens, LCSW
• M. Todd Didion, P.T.A.
• Dids Middle TN Resource Center
• Michael J. Dieckhaus, MD
• Macey Diedrich, PA-C
• Kelly Diehl

• Mental Health Counselor in Nashville, TN
• Providers in Nashville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2023; 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.