Individual provider Active NPI

Leif Robert Diamant, LPC

  • Professional Counselor
  • Pittsboro, NC
National Provider Identifier
1437318979
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2643 Issued in NC
Practice address
183 Box Turtle Rd
Pittsboro, NC 27312-5307
Phone
(919) 542-5420
Fax
(919) 542-4257
NPI assigned
Jun 9, 2008
Last updated
Jun 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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 2643 NC Primary

Addresses

Primary practice location

183 Box Turtle Rd
Pittsboro, NC 27312-5307

Mailing address

183 Box Turtle Rd
Pittsboro, NC 27312-5307
Phone (919) 542-5420

Other identifiers 1

IdentifierTypeStateIssuer
2643OtherNCNCLPC

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
2643NCMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1437318979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BOX TURTLE RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125307",
            "telephone_number": "919-542-5420",
            "fax_number": "919-542-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 BOX TURTLE RD",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273125307",
            "telephone_number": "919-542-5420",
            "fax_number": "919-542-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMANT",
        "first_name": "LEIF",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCLPC",
            "identifier": "2643",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.