Provider Demographics
NPI:1487542049
Name:NIELSEN, DIANNE LESLIE (MS, NCC, LPC-S)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:LESLIE
Last Name:NIELSEN
Suffix:
Gender:F
Credentials:MS, NCC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 S HENRY ST
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-4515
Mailing Address - Country:US
Mailing Address - Phone:605-494-1500
Mailing Address - Fax:605-494-1501
Practice Address - Street 1:1108 W CEDAR ST STE 5B
Practice Address - Street 2:
Practice Address - City:BERESFORD
Practice Address - State:SD
Practice Address - Zip Code:57004-1001
Practice Address - Country:US
Practice Address - Phone:605-215-1029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD21075101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health