NPIMap

Organization Active NPI

Diversified Lifestyle Services

  • Mental Health Counselor
  • Oxon Hill, MD
National Provider Identifier
1619448149
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DIVERSIFIED LIFESTYLE SERVICES
Practice address
6710 Oxon Hill Rd Ste 10
Oxon Hill, MD 20745-1117
Phone
(301) 804-8279
Fax
(240) 204-8153
NPI assigned
Dec 10, 2018
Last updated
Dec 10, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
LANCASTER, FRAZIER, AND ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Antoinette LancasterNPI 1124360516
Title
Executive Director
Phone
(202) 239-5563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6710 Oxon Hill Rd Ste 10
Oxon Hill, MD 20745-1117

Mailing address

6710 Oxon Hill Rd Ste 10
Oxon Hill, MD 20745-1117
Phone (301) 804-8279

National Provider Directory

National Provider Directory
Tax ID family
Lancaster Frazier and Associates LLC7 organizations share this tax ID, including this one
Part of
Lancaster Frazier and Associates LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1619448149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD STE 10",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451117",
            "telephone_number": "301-804-8279",
            "fax_number": "240-204-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD STE 10",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451117",
            "telephone_number": "301-804-8279",
            "fax_number": "240-204-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED LIFESTYLE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANCASTER, FRAZIER, AND ASSOCIATES, LLC",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-239-5563"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.