Katie Diaz, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC61237782 Issued in WA

Practice address

9708 N Nevada St Ste 205
Spokane, WA 99218-6012

Phone

(509) 466-0226

Fax

(844) 273-3042

NPI assigned

Jan 3, 2024

Last updated

Jul 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Payne Former name

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PNW Family Services

  dba Ellie Mental Health N. Idaho

  • Marriage & Family Therapist
  • Coeur d'Alene, ID
  • NPI 1942938303
  Medicare reassignment
• Smart Therapy, LLC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1679982284
  NPD

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1942070677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 N NEVADA ST STE 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992186012",
            "telephone_number": "509-466-0226",
            "fax_number": "844-273-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9708 N NEVADA ST STE 205",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992186012",
            "telephone_number": "509-466-0226",
            "fax_number": "844-273-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "KATIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61237782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "PAYNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrea Marie Diaz
• Chelsie Lokelani Diaz
• Imer Diaz
• Jamie Jo Diaz, PHARM D.
• Jose Diaz
• Marylou Morales Diaz, MSW
• Victorea Diaz
• Megan Elizabeth Dibenedetto, PHARMD
• Daisy Dice, OTR/L
• Ashlie Madeline Dicecco

• Mental Health Counselor in Spokane, WA
• Providers in Spokane, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.