Jamie L Diaz, LPCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64229 Issued in TX

Practice address

8090 Precinct Line Rd Ste 103
Colleyville, TX 76034-7677

Phone

(817) 200-4628

NPI assigned

May 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Deep Eddy Psychotherapy Management, LLC

  • Counseling Psychologist
  • Austin, TX
  • NPI 1457740862
  Medicare reassignment NPD
• Deep Centered Psychiatry PLLC

  • Psychiatry Physician
  • Austin, TX
  • NPI 1629853825
  NPD (past)
• Lena Pope Home, Inc.

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1093856924
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1831418532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 BLAIR RD",
            "address_2": "STE 100 #242612",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314227",
            "telephone_number": "817-200-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8090 PRECINCT LINE RD STE 103",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760347677",
            "telephone_number": "817-200-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214760501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Developmental Neuropsychology Services, PLLC
• Michelle Antonina Dewolfe, LMSW
• DFW Apple Dental, PC
• DFW Prompt Care PA
• Nicole Diamond, PT, DPT
• Phelan Edain Dickerson, LPC
• Annella Grace Didier, L.P.C.
• Susan Marie Dillinger, LPC, NCC
• Daniela Salkinder Dillman, NP
• Kayla Dillman, LPC

• Professional Counselor in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.