Erica Ann Quensen-Diez, MA, LCPC, ADTR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

24402 W Lockport Rd
Suite 2B
Plainfield, IL 60544-4206

Phone

(630) 401-0264

Fax

(815) 254-3419

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487709275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 COVINGTON CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605865504",
            "telephone_number": "630-401-0264",
            "fax_number": "815-254-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24402 W LOCKPORT RD",
            "address_2": "SUITE 2B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444206",
            "telephone_number": "630-401-0264",
            "fax_number": "815-254-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUENSEN-DIEZ",
        "first_name": "ERICA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LCPC, ADTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0009932406",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.