Jessica M Archer, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4821-125 Issued in WI

Practice address

200 Mason St Ste 15
Onalaska, WI 54650-7061

Phone

(608) 285-2016

Fax

(608) 509-9298

NPI assigned

Jun 19, 2012

Last updated

May 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Iris Counseling and Wellness LLC

  • Community/Behavioral Health Agency
  • Onalaska, WI
  • NPI 1740882729
  NPD Authorized official

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1386907046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MASON ST STE 15",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546507061",
            "telephone_number": "608-285-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MASON ST STE 15",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546507061",
            "telephone_number": "608-285-2016",
            "fax_number": "608-509-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4821-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "4821-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John James Anderson, D.C.
• Lindsay Anderson
• Renata M Anderson, DC
• Joseph Alan Angell, ATC
• Apollonia Dental LLC (Aspen Dental)
• Alana L Attleson, PHARMD
• Judith A. Aufenthie, RN, PHD
• Awakened Mind Psychiatry - Whole Health and Prevention Resources, LLC (Awakened Mind Vitality Clinic)
• Kellie A Backman, APNP
• Badger Smiles LLC

• Mental Health Counselor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.