Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diane M Moga-Roach, MSE, LCSW, LPC, CEAP

Individual provider Professional Counselor · NPI 1700923471

Diane M Moga-Roach, MSE, LCSW, LPC, CEAP is a Professional Counselor in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2733 S Ridge Rd
Green Bay, WI 54304-5513
Phone: (920) 497-6200
Fax: (920) 497-3135
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1849-125 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3562-123 (WI)

Record details

NPI number1700923471
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSE , LCSW , LPC , CEAP
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESSeptember 11, 2025

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