DR. DIANE S PLEASANT PSYD LCPC CADC NPI 1669561080

NPI Information

NPI: 1669561080
Provider Name: DR. DIANE S PLEASANT, PSYD, LCPC, CADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
335 E WOOD ST STE B
DECATUR, IL
ZIP 62523
Phone: (217) 422-6908
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DR. Diane S Pleasant, PSYD, LCPC, CADC is a professional counselor in Decatur, IL. DR. Diane S Pleasant, PSYD, LCPC, CADC NPI is 1669561080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

335 E WOOD ST STE B
DECATUR, IL
ZIP 62523
Phone: (217) 422-6908
Fax: (217) 422-7103

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/28/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		180-005694	ILLINOIS	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	22217	ILLINOIS	No
3	101YM0800X	Counselor	Mental Health	180-005694	ILLINOIS	No
4	101YP2500X	Counselor	Professional	180-005694	ILLINOIS	Yes
5	103T00000X	Psychologist		180-005694	ILLINOIS	No
6	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	180-005694	ILLINOIS	No
7	103TB0200X	Psychologist	Cognitive & Behavioral	180-005694	ILLINOIS	No
8	103TC1900X	Psychologist	Counseling	180-005694	ILLINOIS	No
9	103TF0000X	Psychologist	Family	180-005694	ILLINOIS	No
10	171M00000X	Case Manager/Care Coordinator		180-005694	ILLINOIS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	202415440001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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