Anna Juliet Diaz-Poore, LPCF

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC003405 Issued in PA

Practice address

614 N Easton Rd
Glenside, PA 19038-4301

Phone

(215) 884-9770

Fax

(215) 884-6130

NPI assigned

Aug 30, 2009

Last updated

Aug 30, 2009By 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 2

Addresses

Other names 1

• Julie Diaz-Poore Other name

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": "1251590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251590400000",
    "number": "1821221441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 N EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384301",
            "telephone_number": "215-884-9770",
            "fax_number": "215-884-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 N EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384301",
            "telephone_number": "215-884-9770",
            "fax_number": "215-884-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-POORE",
        "first_name": "ANNA",
        "middle_name": "JULIET",
        "credential": "LPCF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-30",
        "last_updated": "2009-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC003405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "DIAZ-POORE",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carl Dean, RPH
• Steven Harold Deets, D.M.D.
• Lee Deheer, ATC
• Jessica Rose Dejneka
• Maryann Devlin
• Divine Providence Village
• Sharon Doherty, REGISTERED NURSE
• Bridget Donlan, CRNP
• Ann Marie Donohue, PH.D.
• Dr. Benjamin K Azizi

• Mental Health Counselor in Glenside, PA
• Providers in Glenside, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2009; 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.