Individual provider Active NPI

Jennifer L Van Sleet, MA, PCT

  • Professional Counselor
  • Eau Claire, WI
National Provider Identifier
1194133470
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6169-125 Issued in WI
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

Updated by the provider on Nov 16, 2023

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 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 Former name

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
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 LTDGroup PAC ID 7416904784, 6 clinicians

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

LicenseStateTypeSpecialty
6169-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Caillier Clinic LTD CurrentSince Sep 20, 2024 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

Verify at the official NPI Registry.