Dieffenbach Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIEFFENBACH COUNSELING, PLLC

Practice address

2368 Joy Ave # NA
White Bear Lake, MN 55110-7409

Phone

(651) 338-9435

NPI assigned

Sep 11, 2023

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Benjamin Paul Dieffenbach, LICSWNPI 1467809624

Title

Chief Manager

Phone

(651) 338-9435

Specialties & licenses 2

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Dieffenbach, MSW, LICSW

  • Clinical Social Worker
  • White Bear Lake, MN
  • NPI 1467809624
  NPD Authorized official
• Shawna L Carey

  • Clinical Social Worker
  • White Bear Lake, MN
  • NPI 1508629544
  NPD (past)
• Dina Lynn Robinson, LPCC

  • Mental Health Counselor
  • Saint Cloud, MN
  • NPI 1891315602
  NPD (past)
• Kathryn Margaret Stemwedel, MA, LPCC

  • Psychologist
  • Plymouth, MA
  • NPI 1922866045
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1063299337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 JOY AVE # NA",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107409",
            "telephone_number": "651-338-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 JOY AVE # NA",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107409",
            "telephone_number": "651-338-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEFFENBACH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "DIEFFENBACH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "651-338-9435",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis a. Smith & Associates, P. a.
• Scott Allen Depaulis, D.C.
• Komal Desai, PHARM.D
• Heather Rose Deutsch, LICSW
• Catherine Agallo Deya
• Benjamin Dieffenbach, MSW, LICSW
• Cristen Dilks
• Jill Dimitri, ST
• Delores A Dinzeo, LP
• Jordan Dittberner, DDS

• Community/Behavioral Health Agency in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.