Individual provider Active NPI

Diatra Simpson

  • Marriage & Family Therapist
  • Pittsburg, CA
National Provider Identifier
1619251352
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125028 Issued in CA
Practice address
51 Marina Blvd
Pittsburg, CA 94565-2068
Phone
(510) 912-5997
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 125028 CA Primary

Addresses

Primary practice location

51 Marina Blvd
Pittsburg, CA 94565-2068

Mailing address

51 Marina Blvd
Pittsburg, CA 94565-2068

Other practice location 1

16166 Rocky Harbor Rd
Lathrop, CA 95330-8793
Phone (925) 848-9292

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
125028CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Past Accepting new patients
Lincoln PastSince Mar 26, 2023 Accepting new patients

Organizations & group practices 2

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": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1619251352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MARINA BLVD",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945652068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MARINA BLVD",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945652068",
            "telephone_number": "510-912-5997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16166 Rocky Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Lathrop",
            "state": "CA",
            "postal_code": "953308793",
            "country_code": "US",
            "telephone_number": "925-848-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "DIATRA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.