Diane Louise London, MSMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3135-125 Issued in WI

Practice address

219 Ross Ave
Suite 101
Schofield, WI 54476-6109

Phone

(715) 355-4999

Fax

(715) 355-5999

NPI assigned

Jan 16, 2006

Last updated

Apr 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stepping Stones Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Wausau, WI
  • NPI 1295891349
  NPD Authorized official
• Flowly Health Medical Group P a

  • Clinical Social Worker
  • Miami, FL
  • NPI 1235983826
  NPD
• Tamade Inc.

  dba Flowly

  • Mental Health Counselor
  • Pasadena, CA
  • NPI 1740054899
  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1154300374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 ROSS AVE",
            "address_2": "SUITE 101",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544766109",
            "telephone_number": "715-355-4999",
            "fax_number": "715-355-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 ROSS AVE",
            "address_2": "SUITE 101",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544766109",
            "telephone_number": "715-355-4999",
            "fax_number": "715-355-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "credential": "MSMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3135-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40916900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Lavalley, NP
• Legacy Martial Arts Inc
• Leonard J Tomcek DC SC
• Link Healthcare, SC
• Sean T Locken
• Ryan T Lozon, MAPT
• Christina Frances Lucas, SAC
• Grace Mary Kae Manke
• Kaitlyn Elizabeth Metzig, MSE
• Michael E. Alt, D.D.S., S.C.

• Professional Counselor in Schofield, WI
• Providers in Schofield, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.