Diana Dawn Mathis-Thornton

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75644 Issued in TX

Practice address

533 Francis St
Lancaster, TX 75146-2321

Phone

(214) 356-0990

Fax

(972) 218-8076

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universal Couch Counseling Services

  • Mental Health Counselor
  • Lancaster, TX
  • NPI 1457854895
  NPD (past) Authorized official

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1558863381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 FRANCIS ST",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462321",
            "telephone_number": "214-356-0990",
            "fax_number": "972-218-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 FRANCIS ST",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462321",
            "telephone_number": "214-356-0990",
            "fax_number": "972-218-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS-THORNTON",
        "first_name": "DIANA",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanda T Mallory
• Deborah Jeanette Malone
• Meagan Martin, CHW
• Nancy Martinez
• Sammy Robert Masso, R.PH.
• Jay Stuart Mattingly, O.D.
• Eric Edward May
• Damaris Mayienda
• Peyton McClellan
• Demetria McDonald, LCSW

• Professional Counselor in Lancaster, TX
• Providers in Lancaster, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.