Jacqueline Patricia Niccolai, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10474-125 Issued in WI

Practice address

7919 48TH Ave Ste 200
Kenosha, WI 53142-2023

Phone

(414) 622-0157

NPI assigned

Dec 27, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optum Behavioral Care of Colorado, P.C.

  • Counseling Psychologist
  • Appleton, WI
  • NPI 1487424826
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1093475477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7919 48TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422023",
            "telephone_number": "602-565-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7919 48TH AVE STE 200",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422023",
            "telephone_number": "414-622-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICCOLAI",
        "first_name": "JACQUELINE",
        "middle_name": "PATRICIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-27",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC6693",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0136820TELE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10474-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurowave Therapy Group LLC
• New Day Psychiatric Care, LLC
• Lisa Neyens, PHARMD
• Rebecca NG, MD, MPH
• Ngy LLC
• Daisy Nichols
• Sarah Nichols, MSW, LCSW
• Kerri L Nicholson, NP
• Joel W Niebuhr, D.O.
• Brittany Nieft

• Professional Counselor in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.