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CARISSA LYN DIETZLER LPC
NPI 1124354048
Counselor - Professional in Madison, WI

Active since October 28, 2009
6001 RESEARCH PARK BLVD, MADISON, WI 53719(608) 263-6100(608) 262-9246 Get Directions Write a Review

NPPES record last updated: February 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Lyn Dietzler Lpc NPPES

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

CARISSA LYN DIETZLER LPC (NPI 1124354048) is an individual professional provider in Madison, Wisconsin, licensed in Wisconsin (5422) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1124354048
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCARISSA LYN DIETZLERCredential: LPC
Location Address6001 RESEARCH PARK BLVDMadison, WI 53719-1176
Mailing Address6001 Research Park BlvdMadison, WI 53719-1176 · (608) 263-6100 · Fax (608) 262-9246
Phone(608) 263-6100
Fax(608) 262-9246
Sole ProprietorNo
Enumeration DateOctober 28, 2009
Last NPPES UpdateFebruary 23, 2017
✔ NPI 1124354048 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 · 5422
6001 RESEARCH PARK BLVD, Madison, WI 53719
Open in Google Maps ↗

Other Names 1

Former Name (1)Carissa Lyn Roper

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

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.

SHARON K. FINLAYSON NP
Nurse Practitioner
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 232-3333
STUART W JONES M.D.
Psychiatry & Neurology (Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 232-3171
TRACEY LEONE SMITH PHD
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 263-6100
OR RAIZMAN VELASQUEZ MD, MPH
Psychiatry & Neurology (Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 232-3171
WENDI E MARIEN
Psychologist
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 263-6100
STEPHEN J WEILER MD
Psychiatry & Neurology (Psychiatry)
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 263-6100
MICHAEL THALASINOS MS-LMFT
Marriage & Family Therapist
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 263-6100
COURTNEY E HOY RN, CNP
Nurse Practitioner
6001 RESEARCH PARK BLVD
MADISON, WI 53719
Dane County (608) 232-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Dietzler's NPI number?

The NPI number for Carissa Dietzler is 1124354048. It was assigned to this individual provider in the NPPES registry on October 28, 2009. The provider is also known as Carissa Lyn Roper.

Where is Carissa Dietzler located?

Carissa Dietzler practices at 6001 Research Park Blvd, Madison, WI 53719. The listed phone number is (608) 263-6100.

What is Carissa Dietzler's specialty?

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

What insurance does Carissa Dietzler accept?

Health plans from Quartz list Carissa Dietzler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carissa Dietzler was last updated on February 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.