Jairo Diaz, NCC, CRC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP10846 Issued in MD

Practice address

620 E Diamond Ave Ste H
Gaithersburg, MD 20877-5328

Phone

(240) 907-6203

NPI assigned

Sep 30, 2020

Last updated

Mar 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1346857687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E DIAMOND AVE STE H",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775328",
            "telephone_number": "240-907-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E DIAMOND AVE STE H",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208775328",
            "telephone_number": "240-907-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JAIRO",
        "credential": "NCC, CRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP10846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jairo.diaz@fs-inc.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "620 E Diamond Ave Ste H",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208775328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diamond Drugs Inc
• Genevieve Diamond, LCSW-C
• Dianna Yan MD PC
• Bintou Diaoune
• Marvin Diaz-Lemus
• Karen Kris Diblasio, D.C.
• Madyson Aaliyah Dicks
• Michael Kofi Dickson
• Lindsey Marie Didion, PT, DPT
• Peggy Dienes, MSW

• Mental Health Counselor in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.