Nanci G Dierauer

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7492-125 Issued in WI

Practice address

2248 S 102ND St. #155
West Allis, WI 53227-2147

Phone

(414) 541-5100

Fax

(844) 515-9455

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1316457575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W359N5226 CRESTVIEW DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663225",
            "telephone_number": "262-347-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 S 102ND ST. #155",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272147",
            "telephone_number": "414-541-5100",
            "fax_number": "844-515-9455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W359N5226 Crestview Dr",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530663225",
            "country_code": "US",
            "telephone_number": "262-347-7585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIERAUER",
        "first_name": "NANCI",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3317-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7492-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100071837",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in West Allis, WI
• Providers in West Allis, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.