Active NPI
Jennifer L Van Sleet, MA, PCT
- Professional Counselor
- Eau Claire, WI
National Provider Identifier
1194133470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6169-125
- Practice address
- 2620 Stein Blvd Ste B
Eau Claire, WI 54701-2674 - Phone
- (715) 836-0064
- Fax
- (715) 836-0065
- NPI assigned
- Jul 30, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6169-125 | WI | Primary |
Addresses
Primary practice location
2620 Stein Blvd Ste B
Eau Claire, WI 54701-2674
Mailing address
2620 Stein Blvd Ste B
Eau Claire, WI 54701-2674
Phone (715) 836-0064
Other names 1
- Jennifer L Lampman
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241104002793 | WI | Practitioner - Mental Health Counselor | 6507399144 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Caillier Clinic LTD
Practice addresses (Care Compare)
2620 Stein Blvd
Eau Claire, WI 54701-2672
Phone (715) 836-0064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6169-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caillier Clinic LTD | Current | Accepting new patients |
Locations
2620 Stein Blvd
Eau Claire, WI 54701
Phone (715) 831-0100
2620 Stein Blvd
Ste B
Eau Claire, WI 54701
Phone (715) 458-2575
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1194133470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 STEIN BLVD STE B",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547012674",
"telephone_number": "715-836-0064",
"fax_number": "715-836-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 STEIN BLVD STE B",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547012674",
"telephone_number": "715-836-0064",
"fax_number": "715-836-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN SLEET",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "MA, PCT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "6169-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "LAMPMAN",
"middle_name": "L",
"credential": "MA, PCT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.