Active NPI
Jacquelyn Van Laarhoven, MS, LPC, SAC-IT
- Professional Counselor
- Weston, WI
National Provider Identifier
1174183446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8364125
- Practice address
- 6304 Kelly PL
Weston, WI 54476-4397 - Phone
- (715) 571-0649
- Fax
- (715) 679-3080
- NPI assigned
- Jun 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 8364125 | WI | |
| Professional Counselor | 101YP2500X | 8364125 | WI | Primary |
Addresses
Primary practice location
6304 Kelly PL
Weston, WI 54476-4397
Mailing address
6304 Kelly PL
Weston, WI 54476-4397
Phone (715) 571-0649
Other names 1
- Jacquelyn Sirianni
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8364125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Centre for Well-Being, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wausau, WI
- NPI 1144426495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759190400000",
"number": "1174183446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6304 KELLY PL",
"city": "WESTON",
"state": "WI",
"postal_code": "544764397",
"telephone_number": "715-571-0649",
"fax_number": "715-679-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6304 KELLY PL",
"city": "WESTON",
"state": "WI",
"postal_code": "544764397",
"telephone_number": "715-571-0649",
"fax_number": "715-679-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN LAARHOVEN",
"first_name": "JACQUELYN",
"credential": "MS, LPC, SAC-IT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "8364125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8364125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELYN",
"last_name": "SIRIANNI",
"credential": "MS, LPC-IT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Weston, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.