Individual provider Active NPI

Diane S Pleasant, PSYD, LCPC, CADC

  • Professional Counselor
  • Decatur, IL
National Provider Identifier
1669561080
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-005694 Issued in IL
Practice address
335 E Wood St Ste B
Decatur, IL 62523
Phone
(217) 422-6908
Fax
(217) 422-7103
NPI assigned
Oct 12, 2006
Last updated
Jun 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 180-005694 IL
Counselor 101Y00000X 180-005694 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 22217 IL
Mental Health Counselor 101YM0800X 180-005694 IL
Psychologist 103T00000X 180-005694 IL
Addiction (Substance Use Disorder) Psychologist 103TA0400X 180-005694 IL
Cognitive & Behavioral Psychologist 103TB0200X 180-005694 IL
Family Psychologist 103TF0000X 180-005694 IL
Case Manager/Care Coordinator 171M00000X 180-005694 IL
Professional Counselor 101YP2500X 180-005694 IL Primary

Addresses

Primary practice location

335 E Wood St Ste B
Decatur, IL 62523

Mailing address

335 E Wood St Ste B
Decatur, IL 62523-1431
Phone (217) 422-6908

Other practice location 1

3965 Coffee Pot Cir
Lovington, IL 61937-9776
Phone (217) 855-7828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514001367 IL Practitioner - Mental Health Counselor 9234521105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pleasant Counseling LLCGroup PAC ID 8325430291, 2 clinicians

Practice addresses (Care Compare)

335 E Wood St
Suite B
Decatur, IL 62523-1431
Phone (217) 422-6908

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22217ILMDAddiction (Substance Use Disorder) Counselor
180-005694ILMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Counseling LLC CurrentSince Nov 9, 2021 Accepting new patients

Locations

335 E Wood St
Ste B
Decatur, IL 62523
Phone (217) 422-6908

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1669561080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E WOOD ST STE B",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231431",
            "telephone_number": "217-422-6908",
            "fax_number": "217-422-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E WOOD ST STE B",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62523",
            "telephone_number": "217-422-6908",
            "fax_number": "217-422-7103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3965 Coffee Pot Cir",
            "address_purpose": "LOCATION",
            "city": "Lovington",
            "state": "IL",
            "postal_code": "619379776",
            "country_code": "US",
            "telephone_number": "217-855-7828",
            "fax_number": "217-752-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLEASANT",
        "first_name": "DIANE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSYD, LCPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "180-005694",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180-005694",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "22217",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-005694",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "180-005694",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "180-005694",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "180-005694",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "IL",
            "license": "180-005694",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "180-005694",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.