Mark Henry Dietz, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2015023997 Issued in MO

Practice address

6801 E 117TH St
Kansas City, MO 64134-3701

Phone

(816) 554-5503

Fax

(816) 554-5550

NPI assigned

May 18, 2016

Last updated

May 18, 2016By 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

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1457708547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 E 117TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641343701",
            "telephone_number": "816-554-5503",
            "fax_number": "816-554-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 E 117TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641343701",
            "telephone_number": "816-554-5503",
            "fax_number": "816-554-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "MARK",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2015023997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard Priggel Dietrich
• John Warner Dietrich, FNP
• Joseph M Dietrick, CRNA
• Amanda Dietz, FNP-C
• Craig Allan Dietz, D.O.
• Jennifer Diggs, RD
• Digna Care Home Care
• Dignified Adult Day Care, LLC
• Dignified Healthcare Services, LLC.
• Kavitha Dileepan, M.D., M.P.H.

• Professional Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.