Rebecca Diener

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2557-226 Issued in WI

Practice address

3003 N Richmond St
Appleton, WI 54911-1148

Phone

(920) 731-1378

NPI assigned

Jun 9, 2015

Last updated

Jun 9, 2015By 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

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LK Anderson Consulting LLC

  dba A Healing Place, Complete Counseling Care

  • Mental Health Counselor
  • Neenah, WI
  • NPI 1215401468
  Medicare reassignment NPD
• Lutheran Social Services of Wisconsin and Upper Michigan, Inc.

  • Mental Health Counselor
  • Appleton, WI
  • NPI 1194954941
  NPD (past)
• Radiology Associates of the Fox Valley, SC

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1477539443
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1467833079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111148",
            "telephone_number": "920-731-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N RICHMOND ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111148",
            "telephone_number": "920-731-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENER",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "2557-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose C Dias, MD
• Elizabeth Sue Dickenson, FNP-BC
• Danielle M Diedrich, LCSW
• Erin Marie Diedrick, PA-C
• Klair Diedrick
• Tam M Diep, DO
• Shanna Jay Dierker, FNP-BC
• Brenda Jeanne Dierschke, MD
• Timothy C Dietzen
• Different Perspectives Counseling, LLC

• Professional Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.