Individual provider Active NPI

Dione Marie Gisch, LPC

  • Professional Counselor
  • Sheboygan, WI
National Provider Identifier
1366603151
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3673-125 Issued in WI
Practice address
1407 N 8TH St
Suite 202
Sheboygan, WI 53081-3400
Phone
(414) 333-8088
Fax
(920) 473-2069
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3673-125 WI Primary

Addresses

Primary practice location

1407 N 8TH St
Suite 202
Sheboygan, WI 53081-3400

Mailing address

1407 N 8TH St
Suite 202
Sheboygan, WI 53081-3400
Phone (414) 333-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3673-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1366603151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 N 8TH ST",
            "address_2": "SUITE 202",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813400",
            "telephone_number": "414-333-8088",
            "fax_number": "920-473-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N 8TH ST",
            "address_2": "SUITE 202",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813400",
            "telephone_number": "414-333-8088",
            "fax_number": "920-473-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISCH",
        "first_name": "DIONE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3673-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.