MS. DIANA RAE DIETZMAN (NPI# 1265640338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265640338 |
| Entity Type | Individual |
| Full Name | MS. DIANA RAE DIETZMAN |
| Credential | M.A.,LMFT |
| Practice Address |
7441 W Greenfield Ave West Allis WI 53214-4676 |
| Mailing Address |
Po Box 6860 Eureka CA 95502-6860 |
| Practice Telephone | 4145459838 |
| Practice Fax Number | 7074433204 |
| Mailing Telephone | 4145459838 |
| Mailing Fax Number | 7074433204 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2014-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT23603 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7441 W GREENFIELD AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53214-4676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740341932 | Debra M Pierson | Counselor | 7441 W Greenfield Ave, Suite 15, West Allis, WI 53214-4676 | 2006-12-12 |
| 1932644168 | Brian Kehlnhofer | Driver | 7441 W Greenfield Ave, Ste #10, West Allis, WI 53214-4676 | 2016-12-26 |
| 1710237052 | Road To Recovery Behavorial Health Clinic, LLC | Clinic/Center | 7441 W Greenfield Ave, Suite 15, West Allis, WI 53214-4676 | 2012-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275197139 | Elizabeth Johnson | Marriage & Family Therapist | 1126 S 70th St Ste 112-3, West Allis, WI 53214-3124 | 2019-04-25 |
| 1336590603 | Kristen Sobieray-brunner | Marriage & Family Therapist | 1126 S 70th St, Suite 112-3, West Allis, WI 53214-3151 | 2016-06-28 |
| 1912321837 | Amanda G Szarzynski | Marriage & Family Therapist | 2363 S 102nd St, Suite #203, West Allis, WI 53227-2143 | 2014-02-12 |
| 1700121712 | Jessica Behagen | Marriage & Family Therapist | 6737 W Washington St, Suite 4225, West Allis, WI 53214-5647 | 2012-12-02 |
| 1013094911 | Charles F Lawler | Marriage & Family Therapist | 1126 S. 70th Street, Suite S-507, West Allis, WI 53214 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871105619 | Matthew Michael Richard Kobriger | Marriage & Family Therapist | 1477 S Knowles Ave Suite 120, New Richmond, WI 54017 | 2020-08-22 |
| 1700494473 | Kelsey Card | Marriage & Family Therapist | 702 N Blackhawk Ave Ste 215, Madison, WI 53705-3357 | 2020-07-20 |
| 1376161489 | Brenda R Lovick | Marriage & Family Therapist | 454 E Church Rd, Cambridge, WI 53523-9632 | 2020-07-06 |
| 1922624139 | Madeline Shay | Marriage & Family Therapist | 629 River St Ste C, Belleville, WI 53508-9189 | 2020-06-23 |
| 1437773736 | Andrew Clayton | Marriage & Family Therapist | 440 Science Dr Ste 300, Madison, WI 53711-1064 | 2020-06-02 |
| 1518580638 | Caitlin Stark | Marriage & Family Therapist | 518 Algoma St, Madison, WI 53704-4813 | 2020-05-22 |
| 1366065757 | Coltan James Schoenike | Marriage & Family Therapist | 500 12th Ave W Apt 30, Menomonie, WI 54751-2445 | 2020-05-20 |
| 1154957314 | William Jay Blevins | Marriage & Family Therapist | 2564 Branch St Ste B5, Middleton, WI 53562-2850 | 2020-03-19 |
| 1578196168 | Psychotherapy Center of Waunakee LLC | Marriage & Family Therapist | 110 Baker St Ste C, Waunakee, WI 53597-2707 | 2020-02-21 |
| 1194355230 | Michelle Nicole King | Marriage & Family Therapist | 757 Martin Ave, Hudson, WI 54016-7762 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53214 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.