Diana Brooke Stark, LCPC-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

XL4516 Issued in ME

Practice address

5 Fundy Rd
Falmouth, ME 04105-1774

Phone

(207) 712-3904

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Diana K McDermott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 12, 2024 through Nov 12, 2026

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Diana Stark Counseling, LLC

  • Mental Health Counselor
  • Falmouth, ME
  • NPI 1225991821
  NPD Authorized official

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1679959506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 HARDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052418",
            "telephone_number": "207-712-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FUNDY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051774",
            "telephone_number": "207-712-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "DIANA",
        "middle_name": "BROOKE",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL4516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "MCDERMOTT",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Southern Maine Hearing, Inc
• Speech and Languagediagnostics LLC
• Amy Spencer, SLP
• Marsea Spiegel, L.M.T.
• Melissa St. Pierre
• Paul Joseph Steber Jr.
• Jane Stegemann, PH.D.
• Rachel Stellmach, RN, LMT
• Stephen L Lauritsen OD PA
• Jennifer Pflug Stevens, PT

• Professional Counselor in Falmouth, ME
• Providers in Falmouth, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.