Individual provider Active NPI

Diamond Texas

  • Professional Counselor
  • Homewood, IL
National Provider Identifier
1407727563
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178022003 Issued in IL
Practice address
19150 Kedzie Ave Ste 201
Homewood, IL 60430-4541
Phone
(708) 300-8864
NPI assigned
Sep 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178022003 IL Primary

Addresses

Primary practice location

19150 Kedzie Ave Ste 201
Homewood, IL 60430-4541

Mailing address

19150 Kedzie Ave Ste 201
Homewood, IL 60430-4541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178022003ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elevation Individual and Family Therapy PLLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

19150 Kedzie Ave
Ste 201
Homewood, IL 60430
Phone (708) 300-8864

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1407727563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE STE 201",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE STE 201",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604304541",
            "telephone_number": "708-300-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEXAS",
        "first_name": "DIAMOND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178022003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.