Individual provider Active NPI

Jacqueline J Streveler, M.S., L.P.C.

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1376983676
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5310-125 Issued in WI
Practice address
741 N First St
Wausau, WI 54403
Phone
(715) 675-3458
Fax
(715) 675-7238
NPI assigned
Jul 1, 2013
Last updated
Feb 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5310-125 WI Primary

Addresses

Primary practice location

741 N First St
Wausau, WI 54403

Mailing address

PO Box 118
Peaceful Solutions Counseling
Wausau, WI 54402-0118
Phone (715) 675-3458

Other identifiers 1

IdentifierTypeStateIssuer
1376983676MedicaidWI

Other names 1

  • Jacqueline J Kraft Former name

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
I20240131003183 WI Practitioner - Mental Health Counselor 6800249368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Centre for Well-Being, IncGroup PAC ID 6002083920, 26 clinicians

Practice addresses (Care Compare)

901 N 6TH St
Wausau, WI 54403-4718
Phone (715) 848-5022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5310-125WIMDProfessional Counselor
5310WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Centre for Well-Being, Inc CurrentSince Jan 1, 2024 Accepting new patients
Peaceful Solutions Counseling Past Accepting new patients

Locations

901 N 6th St
Wausau, WI 54403
Phone (715) 848-5022

Organizations & group practices 2

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1376983676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "address_2": "PEACEFUL SOLUTIONS COUNSELING",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544020118",
            "telephone_number": "715-675-3458",
            "fax_number": "715-675-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N FIRST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-675-3458",
            "fax_number": "715-675-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREVELER",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5310-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376983676",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "KRAFT",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.