MRS. DIANE BROADY WILSON LPC
NPI 1881605665
Counselor - Mental Health in Amarillo, TX

Active since August 10, 2006
1411 E AMARILLO BLVD, 1411 AMARILLO BLVD., EAST, J.O. WYATT CLINIC, AMARILLO, TX 79107(806) 351-7212(806) 351-7284 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Diane Broady Wilson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DIANE BROADY WILSON LPC (NPI 1881605665) is an individual mental health provider in Amarillo, Texas, licensed in Texas (16692) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1881605665
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DIANE BROADY WILSONCredential: LPC
Location Address1411 E AMARILLO BLVD, 1411 AMARILLO BLVD., EAST, J.O. WYATT CLINICAmarillo, TX 79107-5555
Mailing Address1411 E Amarillo Blvd, 1411 Amarillo Blvd., East, J.o. Wyatt ClinicAmarillo, TX 79107-5555 · (806) 351-7212 · Fax (806) 351-7284
Fax(806) 351-7284
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateDecember 20, 2011
NPI 1881605665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in TX · 16692
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
1411 E AMARILLO BLVD, Amarillo, TX 79107

Other Names 1

Former Name (1)Ms. Diane O'meara Broady M.a., Lpc

Other Identifiers 1

Medicaid144810202TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1411 E AMARILLO BLVD
AMARILLO, TX 79107
Nurse Practitioner
1411 E AMARILLO BLVD
AMARILLO, TX 79107
Pharmacist
1411 E AMARILLO BLVD
AMARILLO, TX 79107
Counselor (Professional)
1411 E AMARILLO BLVD
AMARILLO, TX 79107
Pediatrics
1411 E AMARILLO BLVD
AMARILLO, TX 79107
Family Medicine
1411 E AMARILLO BLVD
AMARILLO, TX 79107
Nurse Practitioner (Family)
1411 E AMARILLO BLVD
AMARILLO, TX 79107
Nurse Practitioner
1411 E AMARILLO BLVD
AMARILLO, TX 79107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Wilson's NPI number?

The NPI number for Diane Wilson is 1881605665. It was assigned to this individual provider in the NPPES registry on August 10, 2006. The provider is also known as Ms. Diane O'meara Broady M.A., Lpc.

Where is Diane Wilson located?

Diane Wilson practices at 1411 E Amarillo Blvd 1411 Amarillo Blvd., East, J.O. Wyatt Clinic, Amarillo, TX 79107. The listed phone number is (806) 351-7212.

What is Diane Wilson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Diane Wilson was last updated on December 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.