San Juanita Diaz, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19768 Issued in TX

Practice address

5151 Flynn Pkwy
Suite 114
Corpus Christi, TX 78411-4318

Phone

(361) 884-7600

Fax

(361) 884-7677

NPI assigned

Oct 5, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1518155324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 W AVENUE J",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783802511",
            "telephone_number": "361-737-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 FLYNN PKWY",
            "address_2": "SUITE 114",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114318",
            "telephone_number": "361-884-7600",
            "fax_number": "361-884-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "SAN JUANITA",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "19768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Diaz, DNP, CRNA
• Evelyn Diaz
• Marcelo Diaz
• Mary Linda Diaz, PH.D., LPC
• Roberto Fabricio Diaz, M.D.
• Madison Elaine Dibble, RPH
• Dickson Hearing Center
• Christian M Dickson, DPM
• Efrain Oscar Dickson, M.D.
• George H Dickson

• Mental Health Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.