Jordyn Abegayle Anderson, BA
Individual provider Active NPI Mental Health Counselor · Rice Lake, WI
NPI 1003768664 · NPPES record last updated Feb 13, 2026
Key facts
- NPI
- 1003768664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 33 Ann St
Rice Lake, WI 54868-2265 - Phone
- (715) 736-1000
- NPI assigned
- Feb 13, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randall Therapeutic Services | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
33 Ann St
Rice Lake, WI 54868-2265
Mailing address
227 Noble Ave
Rice Lake, WI 54868-2047
Phone (715) 736-1000
Other providers in Rice Lake, WI
- April Lee Alberg
- Katya Alcaraz Voelker
- Alpine Medical Alert, Inc
- Pamela Jean Ambrozaitis
- Jeffrey J Anderegg
- Apria Healthcare LLC
- Shalini Arepally
- John E Arnold
- Khushboo Arora
- Karla Oehlke Arrigoni
All providers in Rice Lake, WI · Mental Health Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.