Audrey M Dieffenbaugher, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2569 Issued in WV

Practice address

87 15TH St
Wheeling, WV 26003-3548

Phone

(304) 233-9627

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Audrey Marie Dieffenbaugher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youth Services System, Inc.

  • Specialist
  • Wheeling, WV
  • NPI 1477285476
  NPD

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1831115716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CARMEL RD FL 2",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035943",
            "telephone_number": "513-706-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 15TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033548",
            "telephone_number": "304-233-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEFFENBAUGHER",
        "first_name": "AUDREY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0004177",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0004177",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "DIEFFENBAUGHER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Department of Veterans Affairs Vet Center
• Mary Christine Depellegrin
• Albert Derr
• Andrea Jane Deshong, LMT
• Mary Deuley
• Lana Kristine Dingess
• Dino R Boni Jr MD PC
• Sylvia Rennings Diss, LICSW
• Courtney M Dobbs, BA
• Thomas Lee Dobbs Jr., MPT

• Professional Counselor in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Professional Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.