Individual provider Active NPI

Luis R. Diaz, MA, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1386040939
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.009609 Issued in IL
Practice address
303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227
Phone
(312) 600-3935
NPI assigned
Nov 10, 2014
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience Psychological Services PC 7 clinicians

Practice addresses (Care Compare)

303 E Wacker Dr
Suite 1130
Chicago, IL 60601-5227
Phone (312) 600-3935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241001001152 IL Practitioner - Mental Health Counselor 5395276430 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
178.009609ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Psychological Services, PC CurrentSince Jul 21, 2024 Accepting new patients
Centro Castillo for Personal and Family Wellbeing, LLC Professional PastSince Aug 29, 2007 Accepting new patients

Locations

303 E Wacker Dr
Ste 1130
Chicago, IL 60601
Phone (312) 600-3935

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.009609 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227

Mailing address

303 E Wacker Dr Ste 1130
Chicago, IL 60601-5227
Phone (312) 600-3935

Other practice location 1

3166 N Lincoln Ave
Ste 224
Chicago, IL 60657-3133
Phone (773) 622-6218

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2024.

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1386040939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "312-600-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WACKER DR STE 1130",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015227",
            "telephone_number": "312-600-3935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3166 N Lincoln Ave",
            "address_2": "Ste 224",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573133",
            "country_code": "US",
            "telephone_number": "773-622-6218",
            "fax_number": "773-622-7440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LUIS",
        "middle_name": "R.",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-10",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.009609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.