Isaac Dieterman, BA, DP-C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

5816 Eastman Ave
Midland, MI 48640-6792

Phone

(989) 774-1224

NPI assigned

Jul 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ten Sixteen Recovery NetworkGroup PAC ID 5395187975, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts

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 and National Provider Directory roles.

• Ten Sixteen Recovery Network

  • Addiction (Substance Use Disorder) Psychologist
  • Midland, MI
  • NPI 1184765208
  Medicare reassignment Care Compare group NPD
• Ten 16 Recovery Network

  • Addiction (Substance Use Disorder) Psychologist
  • Standish, MI
  • NPI 1487378386
  NPD
• Ten Sixteen Recovery Network

  • Addiction (Substance Use Disorder) Counselor
  • Clare, MI
  • NPI 1770775090
  NPD (past)

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1174185474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406792",
            "telephone_number": "989-774-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406792",
            "telephone_number": "989-774-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETERMAN",
        "first_name": "ISAAC",
        "credential": "BA, DP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Dhar, M.D.
• Satyendra Dhar, M.D
• Tim Angelo Di Mango, MA, ATC, LAT
• Kari Nicole Diederich, CRNA
• Macy Laine Diegel
• Micheal T Dillbeck, LMSW, ACSW
• Vincent Dimerc, MD
• Carlos Diola, M.D.
• Laura Dionne
• Discreet Online Counseling

• Addiction (Substance Use Disorder) Counselor in Midland, MI
• Providers in Midland, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.