Healthcare Provider Details

I. General information

NPI: 1831025071
Provider Name (Legal Business Name): MS. DIANE R OKSIENIK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 FISHERS LN
SPARTA NJ
07871-2440
US

IV. Provider business mailing address

128 GAISLER RD
BLAIRSTOWN NJ
07825-9668
US

V. Phone/Fax

Practice location:
  • Phone: 973-726-4533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number44SL05732400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: