MS. MALISSA/LISA LYNN DIETERLE LCPC; CADC
NPI 1669276242
Counselor - Professional in Chicago, IL

Q: What is Malissa/lisa Dieterle's NPI number?

The NPI number for Malissa/lisa Dieterle is 1669276242. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Q: What is Malissa/lisa Dieterle's specialty?

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

Active since April 02, 2025

1005 N WESTERN AVE UNIT 3, CHICAGO, IL 60622(773) 251-5922 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Malissa/lisa Lynn Dieterle Lcpc; Cadc NPPES

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

MS. MALISSA/LISA LYNN DIETERLE LCPC; CADC (NPI 1669276242) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180-003908) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1669276242

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. MALISSA/LISA LYNN DIETERLECredential: LCPC; CADC

Location Address1005 N WESTERN AVE UNIT 3Chicago, IL 60622-6224

Mailing Address1005 N Western Ave Unit 3Chicago, IL 60622-6224 · (773) 251-5922

Phone(773) 251-5922

Sole ProprietorYes

Enumeration DateApril 2, 2025

NPPES CertifiedApril 2, 2025

✔ NPI 1669276242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 180-003908

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18283 (IL)

1005 N WESTERN AVE UNIT 3, Chicago, IL 60622

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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 Malissa/lisa Dieterle's NPI number?

The NPI number for Malissa/lisa Dieterle is 1669276242. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Malissa/lisa Dieterle located?

Malissa/lisa Dieterle practices at 1005 N Western Ave Unit 3, Chicago, IL 60622. The listed phone number is (773) 251-5922.

What is Malissa/lisa Dieterle's specialty?

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

When was this NPI record last updated?

The NPPES record for Malissa/lisa Dieterle was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.