Active NPI
Janelle Kathleen Hafermann, LPC, CSAC, ICS
- Professional Counselor
- Wisconsin Rapids, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10484-125
- Practice address
- 820 Two Mile Ave
Wisconsin Rapids, WI 54494-6661 - Phone
- (715) 421-1107
- Fax
- (715) 421-1108
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10484-125 | WI | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15834-132 | WI | |
| Mental Health Counselor | 101YM0800X | 10484-125 | WI |
Addresses
Primary practice location
820 Two Mile Ave
Wisconsin Rapids, WI 54494-6661
Mailing address
820 Two Mile Ave
Wisconsin Rapids, WI 54494-6661
Phone (715) 421-1107
Other practice location 1
7013 100th St S
Wisconsin Rapids, WI 54494-8950
Phone (715) 697-0071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100086570 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
320 W Grand Ave
Suite 204
Wisconsin Rapids, WI 54495-2781
Phone (715) 421-1107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15834-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 10484-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hafermann Counseling Collaborative, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Edmundson Counseling | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Locations
820 Two Mile Ave
Wisconsin Rapids, WI 54494
Phone (715) 421-1107
320 W Grand Ave
Ste 204
Wisconsin Rapids, WI 54495
Phone (715) 421-1107
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.
-
- Professional Counselor
- Wisconsin Rapids, WI
- NPI 1558043711
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Wisconsin Rapids, WI
- NPI 1578111498
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1174952352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 TWO MILE AVE",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544946661",
"telephone_number": "715-421-1107",
"fax_number": "715-421-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 TWO MILE AVE",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544946661",
"telephone_number": "715-421-1107",
"fax_number": "715-421-1108"
}
],
"practiceLocations": [
{
"address_1": "7013 100th St S",
"address_purpose": "LOCATION",
"city": "Wisconsin Rapids",
"state": "WI",
"postal_code": "544948950",
"country_code": "US",
"telephone_number": "715-697-0071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAFERMANN",
"first_name": "JANELLE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "LPC, CSAC, ICS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10484-125",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15834-132",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "10484-125",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100086570",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.