Healthcare Provider Details

I. General information

NPI: 1285473348
Provider Name (Legal Business Name): JOSHUA ALAN DEISINGER LPC, SAC-IT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 SANDY ACRES DR
PLOVER WI
54467-3778
US

IV. Provider business mailing address

3321 SANDY ACRES DR
PLOVER WI
54467-3778
US

V. Phone/Fax

Practice location:
  • Phone: 715-281-5516
  • Fax:
Mailing address:
  • Phone: 715-281-5516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: