Individual provider Active NPI

Patricia Rebecca Jahr

  • Professional Counselor
  • Waukesha, WI
National Provider Identifier
1144810615
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4857-226 Issued in WI
Practice address
101 W Broadway # 2
Waukesha, WI 53186-4833
Phone
(262) 547-6090
NPI assigned
Jan 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 4857-226 WI Primary

Addresses

Primary practice location

101 W Broadway # 2
Waukesha, WI 53186-4833

Mailing address

271 Thurow Dr
Oconomowoc, WI 53066-3074
Phone (262) 226-7211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307002273 WI Practitioner - Mental Health Counselor 5799121182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

N17W24222 Riverwood Dr
Suite 170
Waukesha, WI 53188-1134
Phone (262) 999-3495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4857-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Nov 4, 2024 Accepting new patients
Lutheran Counseling and Family Services of Wisconsin Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909

1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110

324 S Andrews St
Shawano, WI 54166
Phone (715) 524-4840

N17W24222 Riverwood Dr
Ste 170
Waukesha, WI 53188
Phone (262) 648-1687

3800 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 536-8333

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.

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1144810615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 THUROW DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663074",
            "telephone_number": "262-226-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W BROADWAY # 2",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864833",
            "telephone_number": "262-547-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHR",
        "first_name": "PATRICIA",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4857-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.