DIVERSIFIED LIFESTYLE SERVICES (NPI# 1205213527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205213527 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED LIFESTYLE SERVICES |
| Other Organization Name | DIVERSIFIED LIFESTYLE SERVICES |
| Practice Address |
1300 I St Nw Suite 400e Washington DC 20005-3314 |
| Mailing Address |
137 National Plz Suite 300 Oxon Hill MD 20745-1152 |
| Practice Telephone | 3018048279 |
| Mailing Telephone | 2402733191 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | DR. ANTOINETTE LANCASTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2022395563 |
| Authorized Official Credential | LPC, LCPC, NCC, |
| Is Organization Subpart | Y |
| Parent Organization Name | LANCASTER, FRAZIER, AND ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CACII1131 | DC | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | PRC14152 | DC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 755104500 | 05 |
| Other Name | Type Code |
|---|---|
| Diversified Lifestyle Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448149 | Diversified Lifestyle Services | Counselor | 6710 Oxon Hill Rd Ste 10, Oxon Hill, MD 20745-1117 | 2018-12-10 |
| 1881001857 | Diversified Lifestyle Services | Counselor | 137 National Plz, Suite 300, Oxon Hill, MD 20745-1152 | 2014-07-22 |
| 1255814125 | Diversified Lifestyle Services | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601-3186 | 2018-09-07 |
| 1215357686 | Diversified Lifestyle Services | Counselor | 1629 K St Nw, Suite 300, Washington, DC 20006-1602 | 2014-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DIVERSIFIED LIFESTYLE SERVICES | 6710 Oxon Hill Rd Ste 210, Oxon Hill, MD 20745-1124 |
| Street Address |
1300 I ST NW SUITE 400E |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20005-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225450794 | Heather M Cain | Counselor | 1300 I St Nw, Washington, DC 20005-3314 | 2014-01-17 |
| 1922618396 | Briana Nicole Mack | Counselor | 1300 I St Nw, Washington, DC 20005-3314 | 2020-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062842 | Nikki Taylor Talarico | Counselor | 601 13th St Sw, Suite 900, Washington, DC 20005 | 2020-10-27 |
| 1962028019 | Care for All Home Services, LLC | Case Management | 1402 N St Nw, Ste# 102, Washington, DC 20005 | 2020-06-24 |
| 1639704398 | Hazel Ware | Behavior Technician | 1200 G Street Nw, Suite 800, Washington, DC 20005 | 2020-03-03 |
| 1528692126 | Candace Wyman | Behavior Technician | 1200 G Street Nw, St, 800, Washington, DC 20005 | 2020-02-24 |
| 1336773936 | Janice Arana | Behavior Technician | 1200 G Street Nw, Ste 800, Washington, DC 20005 | 2020-02-24 |
| 1437796745 | Tinaisha Artis | Behavioral Analyst | 1100 H Street Nw, Suite 640, Washington,dc, DC 20005 | 2019-12-05 |
| 1255972212 | Viviane None Tankeu Djoteng | Home Health Aide | 1010 Vermont Street Suite 1003, Washington, DC 20005 | 2019-10-01 |
| 1891349353 | Natenael Teshome Jenfessa | Registered Nurse | 1504 Kingman Pl Nw, Washington, DC 20005 | 2019-08-01 |
| 1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
| 1245713726 | Erica Featherson | Psychologist | 601 13th St Nw, Washington, DC 20005 | 2018-09-11 |
| Find all providers in zip 20005 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909400 | Garrison Dugger | Counselor | 2502 18th St Se, Washington, DC 20020-3214 | 2020-10-15 |
| 1568079440 | Gracefully Fulfilled Counseling and Coaching Services | Counselor | 219 56th Place Ne, Washington, DC 20019 | 2020-09-25 |
| 1487260576 | Andre Ruth-el | Counselor | 1725 I St Nw # Dc, Washington, DC 20006-2403 | 2020-09-23 |
| 1093322125 | Shannarese Sims | Counselor | 1615 Franklin St Ne Apt 305, Washington, DC 20018-2041 | 2020-09-23 |
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1497367973 | Naimah Zakiyyah Saleem | Counselor | 5205 A St Se, Washington, DC 20019-6434 | 2020-08-17 |
| 1710596473 | Aubrey Rainbow | Counselor | 4005 Wisconsin Ave Nw, Washington, DC 20016-7774 | 2020-07-29 |
| 1225646250 | Darneya Latoya Monk | Counselor | 1514 Fort Davis St Se, Washington, DC 20020-6026 | 2020-07-15 |
| 1841818754 | Sarah May Gaudreau | Counselor | 6604 2nd St Nw, Washington, DC 20012-2130 | 2020-07-07 |
| 1134745219 | Joshua White | Counselor | 2800 Woodley Rd Nw Apt 18, Washington, DC 20008-4163 | 2020-06-24 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20005 |
Please comment or provide details below to improve the information on DIVERSIFIED LIFESTYLE SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.