Janessa Peterson, APSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

134455-121 Issued in WI

Practice address

5900 Monona Dr Ste 100
Monona, WI 53716-3556

Phone

(608) 663-0763

NPI assigned

Apr 8, 2024

Last updated

Apr 8, 2024By the provider in NPPES

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

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

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samaritan Counseling Center of Southern Wisconsin IncGroup PAC ID 3870558281, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Samaritan Counseling Center of Southern Wisconsin Inc

  dba Samaritan Counseling Center of Southern Wisconsin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monona, WI
  • NPI 1962544353
  Medicare reassignment Care Compare group NPD
• Samaritan Counseling Center

  • Adult Mental Health Clinic/Center
  • Monona, WI
  • NPI 1205077427
  NPD (past)

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1356194641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 100",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MONONA DR STE 100",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163556",
            "telephone_number": "608-663-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JANESSA",
        "credential": "APSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "134455-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Marie Paisley, RN
• Stacey Palermo
• Paul Pankratz, PAC
• Casey Paplow, PHARMD
• Kristin M. Pendl, L.AC.
• Linda Carter Pettersen, MSW
• Rebekah K Piazza, PT, DPT
• Amy R Piccolo, BA
• Carolyn Pierre
• Rachel Plonsky, RN

• Social Worker in Monona, WI
• Providers in Monona, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.