Diana Ponce Pertchi, MED, EDS, EDD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2193578 Issued in IL

Practice address

9455 402ND Ave
Genoa City, WI 53128-2209

Phone

(312) 502-5541

NPI assigned

Aug 11, 2026

Last updated

Aug 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1417872151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 402ND AVE",
            "city": "GENOA CITY",
            "state": "WI",
            "postal_code": "531282209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9455 402ND AVE",
            "city": "GENOA CITY",
            "state": "WI",
            "postal_code": "531282209",
            "telephone_number": "312-502-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTCHI",
        "first_name": "DIANA",
        "middle_name": "PONCE",
        "credential": "MED, EDS, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "2193578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mainstcounselingsolutions.com",
            "affiliation": "N",
            "endpointDescription": "main office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9455 402nd Ave",
            "city": "Genoa City",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531282209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Genoa City, WI
• Providers in Genoa City, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.