Individual provider Active NPI

Jena Ann Sleeter, LMFT

  • Marriage & Family Therapist
  • Turtle Lake, WI
National Provider Identifier
1437518792
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1058-124 Issued in WI
Practice address
730 Swede Ave
Turtle Lake, WI 54889
Phone
(715) 986-2640
Fax
(715) 986-2291
NPI assigned
Feb 15, 2016
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1058-124 WI Primary

Addresses

Primary practice location

730 Swede Ave
Turtle Lake, WI 54889

Mailing address

730 Swede Ave PO Box 127
Turtle Lake, WI 54889
Phone (715) 986-2640

Other names 1

  • Jena Ann Novak 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
I20231227001968 WI Practitioner - Marriage and Family Therapist 9931559309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1058-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Lakes Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
The Lakes Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
The Lakes Community Health Center, Inc PastSince Jul 27, 2020 Accepting new patients

Locations

300 Main St W
Ashland, WI 54806
Phone (715) 685-2200

15735 W US Highway 63
Hayward, WI 54843

7665 US Highway 2
Iron River, WI 54847
Phone (715) 372-5001

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": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1437518792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SWEDE AVE PO BOX 127",
            "city": "TURTLE LAKE",
            "state": "WI",
            "postal_code": "54889",
            "telephone_number": "715-986-2640",
            "fax_number": "715-986-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SWEDE AVE",
            "city": "TURTLE LAKE",
            "state": "WI",
            "postal_code": "54889",
            "telephone_number": "715-986-2640",
            "fax_number": "715-986-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEETER",
        "first_name": "JENA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1058-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENA",
            "last_name": "NOVAK",
            "middle_name": "ANN",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Turtle Lake, WI

Sources for this page

Verify at the official NPI Registry.