Active NPI
Diane Luebke
- Addiction (Substance Use Disorder) Counselor
- West Allis, WI
National Provider Identifier
1225215460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15302-130
- Practice address
- 2187 S 85TH St
West Allis, WI 53227-1747 - Phone
- (414) 321-2648
- Fax
- (414) 321-2676
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15302-130 | WI | Primary |
Addresses
Primary practice location
2187 S 85TH St
West Allis, WI 53227-1747
Mailing address
2187 S 85TH St
West Allis, WI 53227-1747
Phone (414) 321-2648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15302-130 | Other | WI | SAC-IT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15302-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1225215460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2187 S 85TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532271747",
"telephone_number": "414-321-2648",
"fax_number": "414-321-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2187 S 85TH ST",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532271747",
"telephone_number": "414-321-2648",
"fax_number": "414-321-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUEBKE",
"first_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15302-130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAC-IT",
"identifier": "15302-130",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.