Provider Demographics
NPI:1003869959
Name:STROUSE, DIANE JENNETTE (LPC, NCC, CAS)
Entity Type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:JENNETTE
Last Name:STROUSE
Suffix:
Gender:F
Credentials:LPC, NCC, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7200 S ALTON WAY
Mailing Address - Street 2:STE A290
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:720-593-1715
Mailing Address - Fax:866-326-1303
Practice Address - Street 1:7200 S ALTON WAY
Practice Address - Street 2:STE A290
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:720-593-1715
Practice Address - Fax:866-326-1303
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5052101YA0400X
CO3813101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO3813OtherLICENSED PROFESSIONAL COU