Diana M Kroeber, CACD III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

2072 Issued in WI

Practice address

1122 Professional Dr
Dodgeville, WI 53533-1176

Phone

(608) 935-2776

Fax

(608) 935-3174

NPI assigned

Jul 19, 2006

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1396764478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 PROFESSIONAL DR",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331176",
            "telephone_number": "608-935-2776",
            "fax_number": "608-935-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 PROFESSIONAL DR",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331176",
            "telephone_number": "608-935-2776",
            "fax_number": "608-935-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROEBER",
        "first_name": "DIANA",
        "middle_name": "M",
        "credential": "CACD III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "2072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "88351",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39371800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole M Klaas, APNP
• Patrick John Klein, APNP
• Crystal K Knapp, RRT
• Brett W Knautz, DPT
• Barbara A Kolb, LCSW
• Haley Elizabeth Krueger
• Lori Kuntz, LCSW
• Angela Kussow, RDH
• Jacqueline Landess, M.D.
• Wilmari Laureano-Melendez, PHARMD

• Addiction (Substance Use Disorder) Counselor in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.