Colleen L Jarema

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4944 Issued in WI

Practice address

50 Prairie Ave
Prairie Du Sac, WI 53578-1541

Phone

(608) 643-3147

Fax

(608) 643-3178

NPI assigned

Apr 30, 2019

Last updated

Sep 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Service Associates, SCGroup PAC ID 8426948746, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Community Service Associates, SC

  dba Pauquette Center for Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portage, WI
  • NPI 1780610923
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1245894765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539010301",
            "telephone_number": "608-742-5518",
            "fax_number": "608-742-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PRAIRIE AVE",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535781541",
            "telephone_number": "608-643-3147",
            "fax_number": "608-643-3178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Osceola St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802122544",
            "country_code": "US",
            "telephone_number": "773-981-0735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Baraboo",
            "state": "WI",
            "postal_code": "539131808",
            "country_code": "US",
            "telephone_number": "608-356-9055",
            "fax_number": "608-356-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAREMA",
        "first_name": "COLLEEN",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245894765",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Beth Hohensee, ATC
• Sandra E Hoke, MS, CCCA
• Tasha Rae Hughbanks, RDH
• Jay P Ironside, CRNA
• Lisa A Jansen, PA
• Curtis N Johnson, CRNA
• Mary E Johnson, CPHT, WPQC CERTIFIED
• Kenneth Gordon Kalinowski, APNP
• Christina L Karg, R.D.H.
• Julie A Kastelitz, RDH

• Professional Counselor in Prairie Du Sac, WI
• Providers in Prairie Du Sac, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.