Individual provider Active NPI

Jessica Badour, LPC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1376377259
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12814-125 Issued in WI
Practice address
2000 Fordem Ave
Madison, WI 53704-4600
Phone
(608) 455-6070
Fax
(608) 455-0883
NPI assigned
Aug 31, 2024
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 12814-125 WI Primary

Addresses

Primary practice location

2000 Fordem Ave
Madison, WI 53704-4600

Mailing address

1506 Sheridan Dr
Madison, WI 53704-3834
Phone (262) 215-9723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Counseling and Consultation LLC Mental Health CurrentSince Aug 25, 2026 Accepting new patients

Locations

2000 Fordem Ave
Madison, WI 53704
Phone (608) 280-2740

2000 Engel St
Ste 201
Monona, WI 53713
Phone (608) 255-5135

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

NPI Registry JSON

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1376377259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 SHERIDAN DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043834",
            "telephone_number": "262-215-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044600",
            "telephone_number": "608-455-6070",
            "fax_number": "608-455-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADOUR",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-31",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "12814-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.