Rebecca Sue Diaz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1501 Yarmouth Ave
Boulder, CO 80304-0564

Phone

(303) 786-9314

Fax

(303) 565-1793

NPI assigned

Jan 8, 2020

Last updated

Jan 8, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Windhorse Community Services

  • Community/Behavioral Health Agency
  • Boulder, CO
  • NPI 1669650065
  NPD (past)

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1689214553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 YARMOUTH AVE UNIT C-1B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044803",
            "telephone_number": "303-786-9341",
            "fax_number": "303-565-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 YARMOUTH AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803040564",
            "telephone_number": "303-786-9314",
            "fax_number": "303-565-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Yarmouth Ave Unit C-1B",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803044803",
            "country_code": "US",
            "telephone_number": "303-786-9341 x125",
            "fax_number": "303-565-1793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Boulder",
            "affiliation": "N",
            "endpointDescription": "wcsboulder.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Boulder",
            "address_1": "1200 Yarmouth Ave Unit C-1B",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803044803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Grazia Di Giorgio, MA, LPC
• Victoria Dial
• Scott Diamond
• Diana C Tanney, MD, Professional, LLC
• Gerardo Diaz
• Tamara S Dick, PT
• Kenna Dickard
• Katherine Marie Dicken, LSW
• Amy Lynn Dickinson, L.AC.
• Jennifer Lynn Diebel, MA, LPC

• Mental Health Counselor in Boulder, CO
• Providers in Boulder, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.