Individual provider Active NPI

Jeremiah E Pfaff

  • School Counselor
  • New Lisbon, WI
National Provider Identifier
1134038748
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Practice address
500 S Forest St
New Lisbon, WI 53950-1119
Phone
(608) 562-3700
NPI assigned
Sep 2, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X Primary

Addresses

Primary practice location

500 S Forest St
New Lisbon, WI 53950-1119

Mailing address

500 S Forest St
New Lisbon, WI 53950-1119
Phone (608) 562-3700

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1134038748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S FOREST ST",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539501119",
            "telephone_number": "608-562-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S FOREST ST",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539501119",
            "telephone_number": "608-562-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFF",
        "first_name": "JEREMIAH",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lisbon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.