Organization Active NPI

Diaspora Therapy Group

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1528630373
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DIASPORA THERAPY GROUP
Practice address
5938 Priestly Dr Ste 103
Carlsbad, CA 92008-8847
Phone
(858) 771-4387
NPI assigned
Jul 12, 2021
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH COUNTY CHILD COUNSELING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Dr. Kiley Dunne Lizama, DSW, LMFTNPI 1366864332
Title
Owner
Phone
(858) 771-4387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

5938 Priestly Dr Ste 103
Carlsbad, CA 92008-8847

Mailing address

5938 Priestly Dr Ste 103
Carlsbad, CA 92008-8847
Phone (858) 771-4387

Other practice location 1

5226 S San Paulo Ave
Sierra Vista, AZ 85650-9354
Phone (858) 771-4387

National Provider Directory

National Provider Directory
Part of
Diaspora Therapy Group

Locations

5938 Priestly Dr
Ste 103
Carlsbad, CA 92008
Phone (858) 771-4387

6540 Lusk Blvd
Ste C261
San Diego, CA 92121
Phone (619) 719-1758

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1528630373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5938 PRIESTLY DR STE 103",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088847",
            "telephone_number": "858-771-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5938 PRIESTLY DR STE 103",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920088847",
            "telephone_number": "858-771-4387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5226 S San Paulo Ave",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856509354",
            "country_code": "US",
            "telephone_number": "858-771-4387",
            "fax_number": "619-924-7572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIASPORA THERAPY GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH COUNTY CHILD COUNSELING SERVICES",
        "enumeration_date": "2021-07-12",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "DUNNE LIZAMA",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-771-4387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.