Active NPI
Diane Wait, M.A., L.P.C.
- Professional Counselor
- Jefferson, NC
National Provider Identifier
1649425224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2235
- Practice address
- 514 McConnell St
Jefferson, NC 28640-9789 - Phone
- (336) 846-4491
- Fax
- (336) 846-4927
- NPI assigned
- Nov 24, 2008
- Last updated
- Oct 24, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2235 | NC | Primary |
Addresses
Primary practice location
514 McConnell St
Jefferson, NC 28640-9789
Mailing address
PO Box 381
Jefferson, NC 28640-0381
Phone (336) 846-4491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104109 | Medicaid | NC |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2235 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Support Services of Ashe Inc. | 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.
-
- Adult Care Home Facility
- Jefferson, NC
- NPI 1841303328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1649425224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286400381",
"telephone_number": "336-846-4491",
"fax_number": "336-846-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 MCCONNELL ST",
"city": "JEFFERSON",
"state": "NC",
"postal_code": "286409789",
"telephone_number": "336-846-4491",
"fax_number": "336-846-4927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAIT",
"first_name": "DIANE",
"credential": "M.A., L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "2235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104109",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, NC
- Larry Russ Turbyfill, REGISTERED NURSE
- Douglas R. Turgeon, M.D.
- Turning Point Services, Inc.
- Brian Branton Ulrich, DPT
- Unique Home Care, Inc.
- Wake Forest Health Network LLC (Atrium Health Wake Forest Baptist Family Medicine Ashe)
- Walgreen Co (Walgreens #17348)
- Walgreen Co (Rite Aid)
- Anna Gabriel Ward, LPC
- Watauga Medical Center Inc (ARHS Heart & Vascular Center - Ashe)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.