Active NPI
Diana Bermudez, PH.D.
- Professional Counselor
- Arlington, VA
National Provider Identifier
1427567965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005719
- Practice address
- 3260 Wilson Blvd Ste 21C
Arlington, VA 22201-4423 - Phone
- (703) 782-8763
- NPI assigned
- Sep 27, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005719 | VA | Primary |
Addresses
Primary practice location
3260 Wilson Blvd Ste 21C
Arlington, VA 22201-4423
Mailing address
3511 22ND St N
Arlington, VA 22207-3828
Phone (703) 868-3439
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005719 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506470400000",
"number": "1427567965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 22ND ST N",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222073828",
"telephone_number": "703-868-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 WILSON BLVD STE 21C",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222014423",
"telephone_number": "703-782-8763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-27",
"last_updated": "2017-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.