Individual provider Active NPI

Jean Schwartz

  • Professional Counselor
  • Oregon, WI
National Provider Identifier
1407107899
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
919-226 Issued in WI
Practice address
602 Pleasant Oak Dr
Oregon, WI 53575-3282
Phone
(608) 835-5050
Fax
(608) 835-5010
NPI assigned
Sep 25, 2012
Last updated
Sep 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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 919-226 WI Primary

Addresses

Primary practice location

602 Pleasant Oak Dr
Oregon, WI 53575-3282

Mailing address

602 Pleasant Oak Dr
Oregon, WI 53575-3282
Phone (608) 835-5050

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
I20240429001269 WI Practitioner - Mental Health Counselor 5799125480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oregon Mental Health Services,LLCGroup PAC ID 0143393884, 9 clinicians

Practice addresses (Care Compare)

165 W Netherwood St
Suite a
Oregon, WI 53575-1107
Phone 6088355050102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
919-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Mental Health Services,LLC CurrentSince Mar 28, 2024 Accepting new patients
Oregon Mental Health SVS Past Accepting new patients
Oregon Mental Health Services Past Accepting new patients

Locations

165 W Netherwood St
Oregon, WI 53575
Phone (608) 408-9556

165 W Netherwood St
Ste A
Oregon, WI 53575
Phone (608) 835-5050

Organizations & group practices 3

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": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1407107899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 PLEASANT OAK DR",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753282",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 PLEASANT OAK DR",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753282",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "919-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, WI

Sources for this page

Verify at the official NPI Registry.