Jessica Diaz, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5415-125 Issued in WI

Practice address

619 W Walnut St
Milwaukee, WI 53212-3839

Phone

(414) 810-3548

Fax

(414) 810-3590

NPI assigned

Aug 25, 2014

Last updated

Mar 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jessica Scheunemann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anne Huebner & Associates LLC

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  • Brookfield, WI
  • NPI 1578878765

  Mental Health

  NPD (past)
• Christian Counseling Associates LLC

  • Psychologist
  • Brookfield, WI
  • NPI 1164736088

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1669872818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE # MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W WALNUT ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123839",
            "telephone_number": "414-810-3548",
            "fax_number": "414-810-3590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17100 W North Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530054450",
            "country_code": "US",
            "telephone_number": "262-786-9184",
            "fax_number": "262-786-1906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16655 W Bluemound Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055935",
            "country_code": "US",
            "telephone_number": "262-786-9184",
            "fax_number": "262-786-1906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5415-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5415-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669872818",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SCHEUNEMANN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Diamond, PT
• Diana Basler Hearing LLC
• Dianes Gifted Hands LLC
• Bridget Diaz, LCSW
• Christina D Diaz, M.D.
• Jordan A Diaz
• Patricia Diaz
• Ali A Diba, M.D.
• Anna Kristine Dibbs
• Pamela Helen Dibella, MS-CCC, SLP

• Mental Health Counselor in Milwaukee, WI
• Providers in Milwaukee, 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 Mar 15, 2024; 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.