Individual provider Active NPI

Diana K Loesch, LPC LMHC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1518036862
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
082956 Issued in IA
Practice address
1409 Clark St
Des Moines, IA 50314-1964
Phone
(515) 643-6502
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2006005206 MO
Mental Health Counselor 101YM0800X 082956 IA Primary

Addresses

Primary practice location

1409 Clark St
Des Moines, IA 50314-1964

Mailing address

1912 SW Cascade Falls Dr
Ankeny, IA 50023-7098
Phone (573) 256-9293

Other practice location 1

33160 County Road 3610
St. James, MO 65559
Phone (573) 265-3251 ext. 337

Other names 1

  • Diana Wilson Former name

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
2006005206MOMDCounselor
082956IAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1518036862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 SW CASCADE FALLS DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237098",
            "telephone_number": "573-256-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CLARK ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141964",
            "telephone_number": "515-643-6502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33160 County Road 3610",
            "address_purpose": "LOCATION",
            "city": "St. James",
            "state": "MO",
            "postal_code": "65559",
            "country_code": "US",
            "telephone_number": "573-265-3251 x337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOESCH",
        "first_name": "DIANA",
        "middle_name": "K",
        "credential": "LPC LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2006005206",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "082956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "WILSON",
            "credential": "MA PLPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.