Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Suzette Carolyn-Eve Diederich, MSED, LPC

Individual provider Mental Health Counselor · NPI 1609972280

Mrs. Suzette Carolyn-Eve Diederich, MSED, LPC is a Mental Health Counselor in Green Bay, Wisconsin. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
26
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

123 N Oakland Ave
Green Bay, WI 54303-2831
Phone: (920) 770-4088
Fax: (651) 705-0026
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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 3387-125 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3387-125 (WI)

Record details

NPI number1609972280
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED , LPC
Sole proprietorYes
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJune 9, 2022
Certification dateJune 9, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated

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