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DIANE M MOGA-ROACH MSE, LCSW, LPC, CEAP
NPI 1700923471
Counselor - Professional in Green Bay, WI

Active since January 31, 2007PECOS Enrolled
2733 S RIDGE RD, GREEN BAY, WI 54304(920) 497-6200(920) 497-3135 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diane M Moga-roach Mse, Lcsw, Lpc, Ceap NPPES

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

DIANE M MOGA-ROACH MSE, LCSW, LPC, CEAP (NPI 1700923471) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (1849-125) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700923471
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDIANE M MOGA-ROACHCredential: MSE, LCSW, LPC, CEAP
Location Address2733 S RIDGE RDGreen Bay, WI 54304-5513
Mailing AddressW5488 Quarry RdAppleton, WI 54913-9790 · (920) 739-2212
Phone(920) 497-6200
Fax(920) 497-3135
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1700923471 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 WI · 1849-125
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 3562-123 (WI)

Other Identifiers 1

Medicaid39742500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica 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 (PECOS)

Diane M Moga-roach Mse, Lcsw, Lpc, Ceap is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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

NEW WELLNESS ASSOCIATES, INC.
Counselor (Mental Health)
2733 S RIDGE RD
GREEN BAY, WI 54304
Brown County (920) 497-6200
MELISSA HARRISON APSW
Social Worker (Clinical)
2733 S RIDGE RD
GREEN BAY, WI 54304
Brown County (920) 497-6200
JOHN J WOEST LPC
Counselor (Mental Health)
2733 S RIDGE RD
GREEN BAY, WI 54304
Brown County (920) 497-6200
JAMES TARY KIRSCH M.S., LPC
Counselor (Professional)
2733 S RIDGE RD
GREEN BAY, WI 54304
Brown County (920) 497-6200
JACLYN MARIE BYKOWSKI LPC-IT
Counselor (Professional)
2733 S RIDGE RD
GREEN BAY, WI 54304
Brown County (920) 497-6200
MS. NANA NASH CISLER MA
Social Worker (Clinical)
2733 S RIDGE RD
GREEN BAY, WI 54304
Brown County (920) 497-6200
LINDA C YANAK MSSW, LCSW
Social Worker (Clinical)
2733 S RIDGE RD
GREEN BAY, WI 54304
Brown County (920) 497-6200
MS. MARYA B LIECHTI MSE,LPC,NCC,MAC,CADC
Counselor (Addiction (Substance Use Disorder))
2733 S RIDGE RD
GREEN BAY, WI 54304
Brown County (920) 497-6200

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 Diane Moga-roach's NPI number?

The NPI number for Diane Moga-roach is 1700923471. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Diane Moga-roach located?

Diane Moga-roach practices at 2733 S Ridge Rd, Green Bay, WI 54304. The listed phone number is (920) 497-6200.

What is Diane Moga-roach's specialty?

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

Is Diane Moga-roach enrolled in Medicare?

Yes. Diane Moga-roach is registered in the Medicare PECOS enrollment system.

What insurance does Diane Moga-roach accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica and Network Health list Diane Moga-roach 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 Diane Moga-roach was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.