Lillian Megan Dirkse
Individual provider Active NPI Mental Health Counselor · Oostburg, WI
NPI 1033949656 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1033949656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 8039-226 (WI)
- Practice address
- 927 Center Ave Ste 4
Oostburg, WI 53070-1369 - Phone
- (920) 892-7606
- NPI assigned
- Aug 7, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8039-226 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Point Counseling, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8039-226 | WI | Yes |
Addresses
Primary practice location
927 Center Ave Ste 4
Oostburg, WI 53070-1369
Mailing address
927 Center Ave Ste 4
Oostburg, WI 53070-1369
Other names
- Lillian Megan Johnstone
Other providers in Oostburg, WI
- Andrew Stopczynski Inc
- Wade Bemis
- Kayla Boden
- Daniel R Bruhn
- Susan De Graaf
- Laura Mae Dolfin
- Dirk Matthew Dulmes
- William D. Guzzetta
- Hartman Chiropractic & Rehabilitation, Inc,
- Eric James Hartman
All providers in Oostburg, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.