Active NPI
Diana K Loesch, LPC LMHC
- Mental Health Counselor
- Des Moines, IA
National Provider Identifier
1518036862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 082956
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2006005206 | MO | MD | Counselor |
| 082956 | IA | MD | Mental 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.