Active NPI
Diane Barbara Xiques, MA LCMHC
- Mental Health Counselor
- St Albans, VT
National Provider Identifier
1932286309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 384
- Practice address
- 5 Lemnah Drive
Nusi Diane Xiques
St Albans, VT 05478 - Phone
- (802) 860-8402
- Fax
- (802) 524-7989
- NPI assigned
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 384 | VT | Primary |
Addresses
Primary practice location
5 Lemnah Drive
Nusi Diane Xiques
St Albans, VT 05478
Mailing address
17 Village Dr
Milton, VT 05468
Phone (802) 860-8402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006721 | Medicaid | VT |
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 |
|---|---|---|---|
| 384 | VT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932286309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 VILLAGE DR",
"city": "MILTON",
"state": "VT",
"postal_code": "05468",
"telephone_number": "802-860-8402",
"fax_number": "802-524-7989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 LEMNAH DRIVE",
"address_2": "NUSI DIANE XIQUES",
"city": "ST ALBANS",
"state": "VT",
"postal_code": "05478",
"telephone_number": "802-860-8402",
"fax_number": "802-524-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XIQUES",
"first_name": "DIANE",
"middle_name": "BARBARA",
"name_prefix": "Ms.",
"credential": "MA LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VT",
"license": "384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1006721",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.