Active NPI
Emilie Ann Diesen, M.A., LMHC, LCMHC
- Mental Health Counselor
- Candler, NC
National Provider Identifier
1861402299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15019
- Practice address
- 8 Bennett Rd
Candler, NC 28715-9232 - Phone
- (828) 407-0480
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60103655 | WA | |
| Mental Health Counselor | 101YM0800X | 15019 | NC | Primary |
Addresses
Primary practice location
8 Bennett Rd
Candler, NC 28715-9232
Mailing address
8 Bennett Rd
Candler, NC 28715-9232
Phone (425) 301-6518
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60103655 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1861402299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BENNETT RD",
"city": "CANDLER",
"state": "NC",
"postal_code": "287159232",
"telephone_number": "425-301-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 BENNETT RD",
"city": "CANDLER",
"state": "NC",
"postal_code": "287159232",
"telephone_number": "828-407-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIESEN",
"first_name": "EMILIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.A., LMHC, LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60103655",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "15019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Candler, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.