Kristian Dipersio

Primary specialty

ContractorTaxonomy code 171W00000X

License

11246-146 Issued in WI

Practice address

700 Regent St Ste 302
Madison, WI 53715-2634

Phone

(608) 441-3290

NPI assigned

Jun 1, 2015

Last updated

Jun 1, 2015By the provider in NPPES

Sex

Male

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

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.

• Dane County Counseling Services SC

  dba Dane Counseling Services, S.C. Ellie Mental Health

  • Mental Health Counselor
  • Madison, WI
  • NPI 1346131174
  NPD (past)
• Group Health Cooperative of South Central Wisconsin

  • Health Maintenance Organization
  • Madison, WI
  • NPI 1245260165
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1740660174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 EMERALD ST # 1",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151612",
            "telephone_number": "608-359-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 REGENT ST STE 302",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152634",
            "telephone_number": "608-441-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPERSIO",
        "first_name": "KRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WI",
            "license": "11246-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica E Dingee, LCSW
• Kyle Dinger
• Umbish Dino, MBBS
• Gary Diny
• Jacqueline Dioszegi, RD
• Direct Quality Care LLC
• Asad A Dirie
• Bobbie Jo Disch, MSW, APSW
• Elizabeth Disch, LPC
• Katherine Disch

• Contractor in Madison, WI
• Providers in Madison, WI by specialty
• Contractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.