MEDICARE: NEW DIRECTIONS COUNSELING CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	928-125	WI
2	1041C0700X	Clinical Social Worker	7281-123	WI
3	1041C0700X	Clinical Social Worker	2121-123	WI
4	103T00000X	Psychologist	949-057	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134220445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DIRECTIONS COUNSELING CENTER, LLC

Provider Business Mailing Address
First Line	:	5541 US HIGHWAY 10 E
Second Line	:	STE B
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-9117
Country	:	US
Telephone Number	:	715-345-9690
Fax Number	:	715-345-2938

Provider Business Practice Location Address
First Line	:	5541 US HIGHWAY 10 E
Second Line	:	STE B
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-9117
Country	:	US
Telephone Number	:	715-345-9690
Fax Number	:	715-345-2938

Authorized Official
Title or Position	:	OWNER
Name	:	DIANE Y DICKINSON
Credential	:	MA, LCSW, LPC
Telephone Number	:	715-345-9690

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	09/11/2025

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Directions to “NEW DIRECTIONS COUNSELING CENTER, LLC ” Practice Location

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