Individual provider Active NPI

Jillian Diesner, ED.S., LPC

  • School Counselor
  • Washington, DC
National Provider Identifier
1710423215
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
PRC13728 Issued in DC
Practice address
5701 Broad Branch Rd NW
Washington, DC 20015-2541
Phone
(202) 282-0116
NPI assigned
Jan 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X PRC13728 DC Primary

Addresses

Primary practice location

5701 Broad Branch Rd NW
Washington, DC 20015-2541

Mailing address

5701 Broad Branch Rd NW
Washington, DC 20015-2541
Phone (202) 282-0116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PRC13728DCMDSchool Counselor

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1710423215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BROAD BRANCH RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152541",
            "telephone_number": "202-282-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BROAD BRANCH RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152541",
            "telephone_number": "202-282-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIESNER",
        "first_name": "JILLIAN",
        "credential": "ED.S., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "DC",
            "license": "PRC13728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.