DIVERSIFIED LIFESTYLE SERVICES (NPI# 1215357686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215357686 |
| Entity Type | Organization |
| Organization Name | DIVERSIFIED LIFESTYLE SERVICES |
| Other Organization Name | DIVERSIFIED LIFESTYLE SERVICES |
| Practice Address |
1629 K St Nw Suite 300 Washington DC 20006-1602 |
| Mailing Address |
14303 Kenlon Ln Accokeek MD 20607-3745 |
| Practice Telephone | 2022395563 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | DR. ANTOINETTE LANCASTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2022395563 |
| 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 | 101YM0800X |
Counselor Specialization: Mental Health |
PRC14152 | DC | Behavioral Health & Social Service Providers |
| 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 |
| 1205213527 | Diversified Lifestyle Services | Counselor | 1300 I St Nw, Suite 400e, Washington, DC 20005-3314 | 2015-05-06 |
| 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 |
1629 K ST NW SUITE 300 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20006-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063446995 | Jerri L Anglin | Social Worker | 1629 K St Nw, Washington, DC 20006-1602 | 2006-07-10 |
| 1083221774 | Shanae Payne | Counselor | 1629 K St Nw, Washington, DC 20006-1602 | 2020-09-26 |
| 1194339879 | Jasmine C Dixon | Social Worker | 1629 K St Nw, Washington, DC 20006-1602 | 2020-09-01 |
| 1306482146 | Francis Mbunwe Bup | In Home Supportive Care | 1629 K St Nw, Washington, DC 20006-1602 | 2019-11-26 |
| 1629625751 | Paul Badoh | Adult Companion | 1629 K St Nw, Washington, DC 20006-1602 | 2019-08-22 |
| 1497313282 | Soul Restore | Counselor | 1629 K St Nw, Washington, DC 20006-1602 | 2019-06-05 |
| 1790280162 | Khamil Omitogun | Chore Provider | 1629 K St Nw, Washington, DC 20006-1602 | 2018-03-28 |
| 1245738848 | Choices In Healing and Recovery LLC | Social Worker | 1629 K St Nw, Choices In Healing & Recovery LLC Suite 300, Washington, DC 20006 | 2018-01-29 |
| 1821502493 | Ann Ijeh | Naturopath | 1629 K St Nw, Washington, DC 20006-1602 | 2017-11-19 |
| 1699284315 | Proximity Care Inc | In Home Supportive Care | 1629 K St Nw, Washington, DC 20006-1602 | 2017-09-26 |
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|---|---|---|---|---|
| 1063035228 | Synapse Virtual Care Management, Inc | Emergency Medicine | 1701 Pennsylvania Ave, Northwest, Suite 200#pmb133, Washington, DC 20006 | 2020-05-22 |
| 1427687383 | Arlene S Bein | Social Worker | 1725 Eye St N.w., Suite 300, Washington, DC 20006 | 2020-04-03 |
| 1336700160 | Northrium Health LLC | Internal Medicine | 1673 K Street #300 Nw, Washington, DC 20006 | 2019-06-24 |
| 1376007674 | I. Shand Counseling Pllc | Counselor | 16290 K St Nw, Suite 300, Washington, DC 20006 | 2019-01-31 |
| 1831653088 | Faithnprogress Psychological Services, Pllc | Psychologist | 1627 K St., Nw, 4th Floor, Washington, DC 20006 | 2019-01-22 |
| 1598236697 | Arilma Milagros St.clair I | Nurse Practitioner | 1889 F Street Nw, Tl-46 Health Unit, Washington, DC 20006 | 2018-12-16 |
| 1134699358 | Petrina Laton Williams | Social Worker | 1300 I Street Nw, Ste 400, Washington, DC 20006 | 2018-11-30 |
| 1154890531 | Victoria Albina Health & Wellness | Nurse Practitioner | 1915 I St. Nw, #700, Washington, DC 20006 | 2018-11-15 |
| 1104314343 | Tamara Jackson | Psychologist | 1725 I Street Nw, Suite 300, Washington, DC 20006 | 2018-04-24 |
| 1730693953 | Bar Lehmann | Social Worker | 1627 K St. Nw, Washington, DC 20006 | 2017-11-27 |
| Find all providers in zip 20006 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225294 | Dominique Rashard Williams | Counselor | 4000 Kansas Ave Nw Apt 206, Washington, DC 20011-5743 | 2020-11-04 |
| 1932709326 | Amy Mall | Counselor | 353 O St Sw, Washington, DC 20024-2901 | 2020-10-27 |
| 1518565787 | Kathryn Paige Zorniger | Counselor | 712 H St Ne Ste 1056, Washington, DC 20002-3627 | 2020-10-11 |
| 1477150001 | Marlyse D Kouano | Counselor | 850 21st St Ne Apt 3, Washington, DC 20002-4131 | 2020-10-06 |
| 1609473750 | Asia Vianna Mack Leak | Counselor | 529 14th St Nw, Washington, DC 20045-1000 | 2020-10-01 |
| 1427665777 | C'aira Neal | Counselor | 4020 Minnesota Ave Ne Apt 636, Washington, DC 20019-3568 | 2020-09-29 |
| 1992312706 | Carolyn Elaine Gonterman | Counselor | 2223 40th St Nw Apt 2, Washington, DC 20007-1736 | 2020-09-25 |
| 1194338095 | Tanyi Mubang | Counselor | 6101 16th St Nw Apt 518, Washington, DC 20011-1761 | 2020-08-28 |
| 1932711488 | Claudia Mai Nguyen | Counselor | 20 F St Nw Ofc 757, Washington, DC 20001-6700 | 2020-08-17 |
| 1114538352 | Sarita Johnson | Counselor | 650 I St Se, Washington, DC 20003-2725 | 2020-08-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20006 |
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.