Individual provider Active NPI

Diane M Baird, LICENSED PROFESSIONA

  • Professional Counselor
  • Crandon, WI
National Provider Identifier
1578698916
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3691125 Issued in WI
Practice address
3163 State Hwy 55
Crandon, WI 54520-0275
Phone
(715) 478-5180
Fax
(715) 478-5904
NPI assigned
Feb 23, 2007
Last updated
Sep 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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 3691125 WI Primary

Addresses

Primary practice location

3163 State Hwy 55
Crandon, WI 54520-0275

Mailing address

3163 State Hwy 55
Crandon, WI 54520-0275
Phone (715) 478-5180

Other identifiers 1

IdentifierTypeStateIssuer
43591300MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240119000870 WI Practitioner - Mental Health Counselor 8426400045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sa Limberg IncGroup PAC ID 3476832338, 6 clinicians

Practice addresses (Care Compare)

8618 Hwy 51 N
Minocqua, WI 54548-9347
Phone (715) 356-6146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3691125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sa Limberg, Inc CurrentSince Dec 5, 2023 Accepting new patients
Sokaogon Chippewa Community Past Accepting new patients

Locations

8618 US Highway 51
Minocqua, WI 54548
Phone (715) 356-6146

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73753

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1578698916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3163 STATE HWY 55",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545200275",
            "telephone_number": "715-478-5180",
            "fax_number": "715-478-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 STATE HWY 55",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545200275",
            "telephone_number": "715-478-5180",
            "fax_number": "715-478-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3691125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43591300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crandon, WI

Sources for this page

Verify at the official NPI Registry.