Active NPI
Dia Lieberenz, LCPC
- Counselor
- Oak Brook, IL
National Provider Identifier
1639598071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180.009005
- Practice address
- 1010 Jorie Blvd
Suite 112
Oak Brook, IL 60523-2215 - Phone
- (331) 250-1586
- NPI assigned
- Apr 14, 2014
- Last updated
- Sep 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180.009005 | IL | Primary |
Addresses
Primary practice location
1010 Jorie Blvd
Suite 112
Oak Brook, IL 60523-2215
Mailing address
592 Front St
Lisle, IL 60532-2205
Phone (331) 250-1586
Other names 1
- Dia Lieberenz
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.009005 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Love and Growth | Counselor | Past | 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": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1639598071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "592 FRONT ST",
"city": "LISLE",
"state": "IL",
"postal_code": "605322205",
"telephone_number": "331-250-1586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 JORIE BLVD",
"address_2": "SUITE 112",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232215",
"telephone_number": "331-250-1586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERENZ",
"first_name": "DIA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180.009005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIA",
"last_name": "LIEBERENZ",
"credential": "LCPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.