Jean A Daute, MS LPC CSAC ICS MAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1453 Issued in WI

Practice address

135 W Main St
Suite 207
Stoughton, WI 53589-2100

Phone

(608) 873-7838

Fax

(877) 674-2177

NPI assigned

Feb 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Oceanhawk Counseling Alternatives LLCGroup PAC ID 7810098886, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Master of Science - Law

State licenses

Practice roles

Locations

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.

• Oceanhawk Counseling Alternatives LLC

  • Addiction (Substance Use Disorder) Counselor
  • Stoughton, WI
  • NPI 1245341205
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1184690679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "address_2": "SUITE 207",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892100",
            "telephone_number": "608-873-7838",
            "fax_number": "877-674-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST",
            "address_2": "SUITE 207",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535892100",
            "telephone_number": "608-873-7838",
            "fax_number": "877-674-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUTE",
        "first_name": "JEAN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MS LPC CSAC ICS MAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1453",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3118-125",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39335400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jane Grinyer Dean, M.S. CCC-SLP
• Tina Marie Degroot, APNP

• Addiction (Substance Use Disorder) Counselor in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.

Verify at the official NPI Registry.