Individual provider Active NPI

Heather I Diaz, LMHC

  • Mental Health Counselor
  • Lynnwood, WA
National Provider Identifier
1578883757
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5108 196TH St SW Ste 350
Lynnwood, WA 98036-6169
Phone
(425) 582-2041
Fax
(425) 527-0468
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5108 196TH St SW Ste 350
Lynnwood, WA 98036-6169

Mailing address

5650 Thistle Dr
Prescott, AZ 86305-6710
Phone (425) 582-2041

Other practice location 1

9485 W Colfax Ave
Lakewood, CO 80215-3918
Phone (303) 432-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023004413 WA Practitioner - Mental Health Counselor 8224526934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5108 196TH St SW
Suite 310
Lynnwood, WA 98036-6152

5108 196TH St SW
Suite 350
Lynnwood, WA 98036-6169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Mental Health LLC Mental Health CurrentSince Oct 1, 2025 Accepting new patients

Locations

5108 196th St SW
Ste 350
Lynnwood, WA 98036
Phone (425) 582-2041

5108 196th St SW
Ste 310
Lynnwood, WA 98036
Phone (425) 582-2041

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1578883757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 THISTLE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863056710",
            "telephone_number": "425-582-2041",
            "fax_number": "425-527-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 350",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366169",
            "telephone_number": "425-582-2041",
            "fax_number": "425-527-0468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9485 W Colfax Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802153918",
            "country_code": "US",
            "telephone_number": "303-432-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "HEATHER",
        "middle_name": "I",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.