Individual provider Active NPI

Jennalee Oefstedahl

  • Mental Health Counselor
  • La Crosse, WI
National Provider Identifier
1356905236
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4313-226 Issued in WI
Practice address
115 5TH Ave S
La Crosse, WI 54601-9200
Phone
(608) 780-8180
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4313-226 WI Primary

Addresses

Primary practice location

115 5TH Ave S
La Crosse, WI 54601-9200

Mailing address

W4260 County Road T
Mindoro, WI 54644-9103
Phone (608) 780-8180

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joefstedahl@pomcounselingllc.com Direct Peace of Mind Counseling LLC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260616000029 WI Practitioner - Mental Health Counselor 5395217913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace of Mind Counseling LLCGroup PAC ID 6305190166, 15 clinicians

Practice addresses (Care Compare)

401 Main St
FL 5
La Crosse, WI 54601-9207
Phone (608) 797-5679

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4313-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1356905236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W4260 COUNTY ROAD T",
            "city": "MINDORO",
            "state": "WI",
            "postal_code": "546449103",
            "telephone_number": "608-780-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 5TH AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546019200",
            "telephone_number": "608-780-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEFSTEDAHL",
        "first_name": "JENNALEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4313-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joefstedahl@pomcounselingllc.com",
            "affiliation": "Y",
            "endpointDescription": "business email",
            "affiliationName": "Peace of Mind Counseling LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email communication",
            "address_1": "115 5th Ave S",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546019200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.