Active NPI
Diane M Baird, LICENSED PROFESSIONA
- Professional Counselor
- Crandon, WI
National Provider Identifier
1578698916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3691125
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43591300 | Medicaid | WI |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3691125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sa Limberg, Inc | Current | Accepting new patients | |
| Sokaogon Chippewa Community | Past | Accepting new patients |
Locations
8618 US Highway 51
Minocqua, WI 54548
Phone (715) 356-6146
Interoperability endpoints
- 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.
-
- Social Worker
- Arbor Vitae, WI
- NPI 1649725888
-
- Federally Qualified Health Center (FQHC)
- Crandon, WI
- NPI 1033115456
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
- Arizconsin Group Inc (Crandon Nursing Home)
- Coleen Asbach
- Abigail B Ashbeck, LCSW
- Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Crandon Clinic)
- Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Crandon Clinic)
- Jamie Dean Bauknecht, LPN
- William Dale Becker, O.D.
- Karen A Beimborn, MEDICINE SURGERY MD
- Bobbi Jo Kapla Bissonette, APNP
- Nicholas Bolte
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.