Active NPI
Lorri Ann Van Diest, LPC
- Professional Counselor
- Palmer, AK
National Provider Identifier
1962092122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PCOP87
- Practice address
- 2995 N Mountain Trail Cir
Palmer, AK 99645-8749 - Phone
- (907) 775-0223
- NPI assigned
- Jan 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PCOP87 | AK | Primary |
Addresses
Primary practice location
2995 N Mountain Trail Cir
Palmer, AK 99645-8749
Mailing address
2995 N Mountain Trail Cir
Palmer, AK 99645-8749
Phone (907) 775-0223
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCOP87 | AK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1962092122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 N MOUNTAIN TRAIL CIR",
"city": "PALMER",
"state": "AK",
"postal_code": "996458749",
"telephone_number": "907-775-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2995 N MOUNTAIN TRAIL CIR",
"city": "PALMER",
"state": "AK",
"postal_code": "996458749",
"telephone_number": "907-775-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DIEST",
"first_name": "LORRI",
"middle_name": "ANN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "PCOP87",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.