Stacey Diaz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A16336 Issued in NC

Practice address

8511 Davis Lake Pkwy Ste C6228
Charlotte, NC 28269-0536

Phone

(323) 695-9067

NPI assigned

Oct 21, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1689337073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 DAVIS LAKE PKWY STE C6228",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690536",
            "telephone_number": "323-695-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 DAVIS LAKE PKWY STE C6228",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690536",
            "telephone_number": "323-695-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A16336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Campbell Diaz, M. ED., CCC-SLP
• Kelsey Diaz, DDS
• Margaret Diaz, LCSWA
• Monica Diaz
• Randy Diaz, LCAS
• Aseel Dib, MD
• Mrna Tracy Dibble, LCSW
• Kevin Dibella, D.C.
• Pamela Mechele Dicarlo
• Matthew J Dicerbo

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.