Jennifer Everts, LPC
Individual provider Active NPI Professional Counselor · Hartford, WI
NPI 1104351840 · NPPES record last updated May 1, 2017
Key facts
- NPI
- 1104351840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6465-125 (WI)
- Practice address
- 620 Pleasant Ave
Hartford, WI 53027-1955 - Phone
- (262) 457-1121
- NPI assigned
- May 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6465-125 | WI | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6465-125 | WI | Yes |
Addresses
Primary practice location
620 Pleasant Ave
Hartford, WI 53027-1955
Mailing address
620 Pleasant Ave
Hartford, WI 53027-1955
Phone (262) 457-1121
Other providers in Hartford, WI
- Kamalpreet Dulai
- Cori Lyn Dynek
- Rachel A Eash-Scott
- Kristine M Erickson
- Ernesto Espinosa
- Expert Care Inc
- Julie Faber
- Pamela Sue Feucht
- Iesha Marie Floyd-Barkley
- Janet Lynn Fredericks
All providers in Hartford, WI · Professional 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 May 1, 2017. 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.