Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174672000 Individual Practitioner Female Practitioner

Diane Wizner

Counselor - Professional • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Diane Wizner is a registered healthcare professional specializing in Counselor - Professional in Appleton, WI. Practice services are available at 103 W COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

103 W College Ave
Suite 815

Appleton, WI 549115770

Telephone 9207331992
Fax 9207331866
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
194 Specialists

Practicing in Appleton, WI (4511 Statewide)

Telehealth Adoption Rate
4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 4060-125

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Mark Reich , MS PSYCHOLOGY

Counselor - Mental Health

NPI 1053476515

MSPSYCHOLOGY

Cary Backenger , MS, LPC, CADCIII

Counselor - Addiction (Substance Use Disorder)

NPI 1104960376

Master of Science, Licensed Professional Counselor, CADCIII

Barbara Hines , MS MAR

Counselor - Mental Health

NPI 1396883179

MSMAR

NPI 1578625539

MSWLCSW

NPI 1710073804

Doctor of Philosophy (Ph.D.)

Ellen Needham , MSW

Counselor - Mental Health

NPI 1790847655

Master of Social Work

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 07, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2010

Registered at 103 W COLLEGE AVE, SUITE 815, APPLETON, WI 549115770 (Tel: 9207331992)

📍
Updated Business Mailing Address July 07, 2010

Registered at 103 W COLLEGE AVE, SUITE 815, APPLETON, WI 549115770 (Tel: 9207331992)

👤
Provider Name / Credentials Updated July 07, 2010

Recorded as DIANE WIZNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2010

Counselor (License #4060-125 in WI)

🟢
Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174672000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: July 07, 2010
Sole Proprietor: No

Mailing Address

103 W College Ave, Suite 815

Appleton, WI 549115770

Phone: 9207331992

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.