Patricia Ann Jirovetz, MS-ATRL

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

29-036 Issued in WI

Practice address

N6687 Wrightway Dr Ste D
Fond Du Lac, WI 54937-8433

Phone

(920) 929-9140

Fax

(920) 929-9142

NPI assigned

May 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrated Counseling Center LLC

  • Clinical Social Worker
  • Fond Du Lac, WI
  • NPI 1104053701
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1245497098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6687 WRIGHTWAY DR STE D",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549378433",
            "telephone_number": "920-929-9140",
            "fax_number": "920-929-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N6687 WRIGHTWAY DR STE D",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549378433",
            "telephone_number": "920-929-9140",
            "fax_number": "920-929-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIROVETZ",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS-ATRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "29-036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43735200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika Jens
• Guy J Jensen, D.D.S., M.S.
• Brooke Laine Jeske, APNP
• Kevin Andrew Jessen, M.D.
• Fangda Jiang, MD
• Sachin S Jogal, MD
• Amy S Johannes, CSAC
• Johnson Chiropractic Health Center, SC
• Johnson Chiropractic Health Service
• Aaron R Johnson, M.D.

• Mental Health Counselor in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.