Jennifer R Vickers

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8240226 Issued in WI

Practice address

145 W Wisconsin Ave
Neenah, WI 54956-3075

Phone

(920) 725-1230

NPI assigned

Jan 23, 2025

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 names 1

• Jennifer R Fries Other name

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.

• LK Anderson Consulting LLC

  dba A Healing Place, Complete Counseling Care

  • Mental Health Counselor
  • Neenah, WI
  • NPI 1215401468
  NPD (past)
• Radiology Associates of the Fox Valley, SC

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1477539443
  NPD (past)

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1336951771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 DRUM CORPS DR APT 5",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521368",
            "telephone_number": "920-213-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W WISCONSIN AVE",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563075",
            "telephone_number": "920-725-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8240226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FRIES",
            "middle_name": "R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas Vansistine, MD
• Jaime Lynn Velie, APNP
• Nicole Ver Voort, APNP
• Erik Verhage, MD
• Megan Cassie Verhagen, DPT
• Martin Viebahn, MD
• Vigilant Partners, S.C.
• Trey Vincent
• Sagar Jitendra Vishal, M.D.
• Vital Anesthesia Associates SC

• Professional Counselor in Neenah, WI
• Providers in Neenah, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.