Michael Diller Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2008002519 Issued in MO

Legal business name

MICHAEL DILLER COUNSELING

Practice address

144 W Madison Avenue
Kirkwood, MO 63122

Phone

(314) 602-7959

NPI assigned

Mar 28, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Diller, LPC, NCC

Title

Owner

Phone

(314) 602-7959

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Diller, LPC, MAC

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1366707226
  NPD (past)

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1760725717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 BANSBACH ROAD",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-602-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W MADISON AVENUE",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-602-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DILLER COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "DILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-602-7959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2008002519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.