Individual provider Active NPI

Amy Marie Diaz, LCPC

  • Mental Health Counselor
  • Grayslake, IL
National Provider Identifier
1831535277
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
100 N Atkinson Rd Ste 106
Grayslake, IL 60030-7805
Phone
(224) 513-1089
Fax
(847) 556-6535
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X IL
Professional Counselor 101YP2500X IL
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

100 N Atkinson Rd Ste 106
Grayslake, IL 60030-7805

Mailing address

100 N Atkinson Rd Ste 106
Grayslake, IL 60030-7805
Phone (224) 513-1089

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

Practice roles

OrganizationSpecialtyStatusNew patients
Changing Phases, LLC Addiction (Substance Use Disorder) CurrentSince Feb 18, 2024 Accepting new patients
Sol & Soul Therapy, PLLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

142 Hawley St
Ste 1
Grayslake, IL 60030
Phone (224) 421-6235

100 N Atkinson Rd
Ste 106
Grayslake, IL 60030
Phone (224) 513-1089

100 Saunders Rd
Ste 150
Lake Forest, IL 60045
Phone (847) 574-5718

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1831535277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ATKINSON RD STE 106",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307805",
            "telephone_number": "224-513-1089",
            "fax_number": "847-556-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ATKINSON RD STE 106",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307805",
            "telephone_number": "224-513-1089",
            "fax_number": "847-556-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.