Mariel Diaz, LPC
Individual provider Active NPI Professional Counselor · Trumann, AR
NPI 1669985115 · NPPES record last updated Apr 3, 2023
Key facts
- NPI
- 1669985115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P2303018 (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
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nextstep Counseling Services LLC
Practice addresses (Care Compare)
1707 Linwood Dr
Suite B
Paragould, AR 72450-5365
Phone (870) 604-4455
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118003859 | AR | Practitioner - Mental Health Counselor | 5395197958 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextstep Counseling Services, LLC | Current |
Accepting new patients | |
| Life Strategies Counseling, Inc. | Past |
Accepting new patients | |
| Optum Behavioral Care of North Carolina, P.C. | Past |
Accepting new patients |
Locations
1707 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 215-0669
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2303018 | AR | Yes |
Addresses
Primary practice location
809 W Main St Ste C-D
Trumann, AR 72472-2611
Mailing address
2809 Forest Home Rd
Jonesboro, AR 72401-5320
Phone (866) 972-1268
Other practice location 1
2200 E Matthews Ave
Jonesboro, AR 72401-4347
Phone (870) 972-1268
Other providers in Trumann, AR
- Daven Debow
- Delta EMS
- Dana Renee Devereux
- Lorraine Irene Devries
- Angela Dewberry
- Doctors Health Group, Inc.
- Kelton Doggett
- Latasha Doggett
- John Timothy Dow
- Rachel Dowdy
All providers in Trumann, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.