MS. DEANNA L DITTLOFF
NPI 1083790240
Counselor - Professional in De Pere, WI

Q: What is Deanna Dittloff's NPI number?

The NPI number for Deanna Dittloff is 1083790240. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Q: What is Deanna Dittloff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Deanna Dittloff was last updated on November 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment

1325 ANGELS PATH, DE PERE, WI 54115(920) 338-2855(920) 338-9270 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 23, 2020, Apr 10, 2019 (2 updates tracked since 2019).

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About Ms. Deanna L Dittloff NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DEANNA L DITTLOFF (NPI 1083790240) is an individual professional provider in De Pere, Wisconsin, licensed in Wisconsin (5795-125) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083790240

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. DEANNA L DITTLOFF

Location Address1325 ANGELS PATHDe Pere, WI 54115-4050

Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7222 · Fax (920) 445-7289

Phone(920) 338-2855

Fax(920) 338-9270

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 31, 2006

Last NPPES UpdateNovember 23, 20202 updates tracked since enumeration

NPPES CertifiedNovember 23, 2020

✔ NPI 1083790240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 5795-125

1325 ANGELS PATH, De Pere, WI 54115

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Deanna L Dittloff is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890145163

PECOS Enrollment IDI20231228002398

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHARLES J LATORRE LCSW

Social Worker (Clinical)