Individual provider Active NPI

Jessica Marie-Lynch Abegglen, LPC

  • Professional Counselor
  • Fitchburg, WI
National Provider Identifier
1124431390
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5355-125 Issued in WI
Practice address
3028 Edenberry St
Fitchburg, WI 53711-6953
Phone
(608) 445-6064
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5355-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Collective, LLC Current Accepting new patients
Abegglen Counseling and Consulting, LLC CurrentSince Jul 28, 2024 Accepting new patients

Locations

2920 Marketplace Dr
Ste 203
Fitchburg, WI 53719
Phone (608) 291-7369

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5355-125 WI Primary

Addresses

Primary practice location

3028 Edenberry St
Fitchburg, WI 53711-6953

Mailing address

3028 Edenberry St
Fitchburg, WI 53711-6953
Phone (608) 445-6064

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1124431390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 EDENBERRY ST",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116953",
            "telephone_number": "608-445-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 EDENBERRY ST",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537116953",
            "telephone_number": "608-445-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEGGLEN",
        "first_name": "JESSICA",
        "middle_name": "MARIE-LYNCH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5355-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.