Jane Emily Klingberg, COUNSELOR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11161-125 Issued in WI

Practice address

1620 S Lawe St Ste 1
Appleton, WI 54915-2419

Phone

(920) 284-9676

Fax

(920) 481-3121

NPI assigned

Feb 1, 2021

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 4

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

Southern Illinois University School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Reflection, LLCGroup PAC ID 0042654915, 5 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 and National Provider Directory roles.

• Reflection, LLC

  • Mental Health Counselor
  • Appleton, WI
  • NPI 1588323893
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1265023352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S LAWE ST STE 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152419",
            "telephone_number": "920-284-9676",
            "fax_number": "920-481-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S LAWE ST STE 1",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549152419",
            "telephone_number": "920-284-9676",
            "fax_number": "920-481-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGBERG",
        "first_name": "JANE",
        "middle_name": "EMILY",
        "credential": "COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "11161-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS INDEPENDENT COUNSELOR LICENSE (LCPC)",
            "identifier": "180015956",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265023352",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS COUNSELOR LICENSE NUMBER",
            "identifier": "178000697",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN INDEPENDENT COUNSELOR LICENSE (LPC)",
            "identifier": "11161-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan C Klemp, OTR
• Rachel Klepps, APRN
• Stephanie Klick, RDH
• Kelly Klika
• Richard A Kling, DDS
• Anthony Edward Klingert
• Molly Ann Klinner
• Susan Schuster Klobucarich, DDS
• Amy L Kloehn
• Cory Kloehn, LCSW

• Mental Health Counselor in Appleton, WI
• Providers in Appleton, 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 Aug 18, 2026; 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.