Mariel Diaz, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2303018 Issued in AR

Practice address

809 W Main St Ste C-D
Trumann, AR 72472-2611

Phone

(870) 483-0068

Fax

(870) 483-0066

NPI assigned

Nov 7, 2017

Last updated

Apr 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nextstep Counseling Services LLCGroup PAC ID 3577951581, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nextstep Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paragould, AR
  • NPI 1801488317
  Medicare reassignment Care Compare group NPD
• Life Strategies Counseling, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Jonesboro, AR
  • NPI 1932154945
  NPD (past)
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1053298711
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1669985115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 FOREST HOME RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015320",
            "telephone_number": "866-972-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W MAIN ST STE C-D",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "724722611",
            "telephone_number": "870-483-0068",
            "fax_number": "870-483-0066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Matthews Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724014347",
            "country_code": "US",
            "telephone_number": "870-972-1268",
            "fax_number": "870-934-0847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARIEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2303018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daven Debow, QBHP
• Delta EMS
• Dana Renee Devereux, MCD, CCC-SLP
• Lorraine Irene Devries, RN
• Angela Dewberry
• Doctors Health Group, Inc. (St. Bernards First Care- Trumann)
• Kelton Doggett
• Latasha Doggett, CDA
• John Timothy Dow, MD
• Rachel Dowdy

• Professional Counselor in Trumann, AR
• Providers in Trumann, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.