Individual provider Active NPI

Diana Jean Mount, LMSW

  • Clinical Social Worker
  • Des Moines, IA
National Provider Identifier
1598930885
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007078 Issued in IA
Practice address
1301 Center St.
Des Moines, IA 50309-1004
Phone
(515) 243-5181
Fax
(515) 243-2760
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007078 IA Primary
Social Worker 104100000X 007078 IA

Addresses

Primary practice location

1301 Center St.
Des Moines, IA 50309-1004

Mailing address

945 19TH Street
Des Moines, IA 50314-1117
Phone (515) 235-8822

Other names 1

  • Diana Jean Roth Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
007078IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
United Community Services, Inc. PastSince Jun 11, 2017 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1598930885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 19TH STREET",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141117",
            "telephone_number": "515-235-8822",
            "fax_number": "515-241-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST.",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091004",
            "telephone_number": "515-243-5181",
            "fax_number": "515-243-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNT",
        "first_name": "DIANA",
        "middle_name": "JEAN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "007078",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "007078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "ROTH",
            "middle_name": "JEAN",
            "credential": "LMSW",
            "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 Feb 28, 2011; 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.