| Jamie Diestelhorst, | |
|
631 Forest St, Wausau, WI 54403-5524 | |
| (715) 842-0944 | |
| Not Available |
| Full Name | Jamie Diestelhorst |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 631 Forest St, Wausau, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245704188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4252-226 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 4252-226 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Point Counseling Center Llc | 2264865971 | 13 |
| Entity Name | Point Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871138115 PECOS PAC ID: 2264865971 Enrollment ID: O20191211002097 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Diestelhorst, 631 Forest St, Wausau, WI 54403-5524 Ph: () - | Jamie Diestelhorst, 631 Forest St, Wausau, WI 54403-5524 Ph: (715) 842-0944 |
Nicole M. Tesch, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Corrie Vonfeldt, APSW-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2400 Marshall St Ste A, Wausau, WI 54403 Phone: 715-848-4551 | |
Karen Slattery, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
James Hahn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 | |
Jennifer Hearn, LPC, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Ann Marie Dixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N 3rd St # 208-34, Wausau, WI 54403 Phone: 414-306-0555 | |
Dakota J Kaiser, PHD Counselor Medicare: Accepting Medicare Assignments Practice Location: 100 N 72nd Ave, Wausau, WI 54401 Phone: 715-301-0267 Fax: 844-444-0672 |