Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydia Jean Haker

Individual provider Professional Counselor · NPI 1245759190

Lydia Jean Haker is a Clinical Psychologist in De Pere, Wisconsin. Qualified in 2023, 3 years ago. Practices with County of Door-Door County Library, a 4-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1118 Twilight Dr
De Pere, WI 54115-1372
Phone: (715) 966-3596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 5213-17 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 3537-226 (WI)

Record details

NPI number1245759190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2017
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice County Of Door-Door County Library — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in De Pere