Individual provider Active NPI

Jessica Harm

  • Counselor
  • Black River Falls, WI
National Provider Identifier
1235899022
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
920 Fillmore St
Black River Falls, WI 54615-1531
Phone
(715) 797-4141
NPI assigned
Dec 21, 2021
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Counselor 101Y00000X WI Primary

Addresses

Primary practice location

920 Fillmore St
Black River Falls, WI 54615-1531

Mailing address

312 N 8TH St
Black River Falls, WI 54615-1250
Phone (715) 797-4141

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://pomcounselingllc.com Other

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
I20250416001624 WI Practitioner - Mental Health Counselor 2365966058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black River Health IncGroup PAC ID 3173431178, 62 clinicians

Practice addresses (Care Compare)

711 W Adams St
Black River Falls, WI 54615-5052
Phone (715) 284-5361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc CurrentSince May 1, 2025 Accepting new patients
Black River Health Inc CurrentSince May 1, 2025 Accepting new patients

Locations

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1235899022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N 8TH ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151250",
            "telephone_number": "715-797-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FILLMORE ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151531",
            "telephone_number": "715-797-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARM",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pomcounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Company Website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "920 Fillmore St",
            "city": "Black River Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546151531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Black River Falls, WI

Sources for this page

Verify at the official NPI Registry.