Individual provider Active NPI

Jane A Faacks, LPC

  • Mental Health Counselor
  • Eau Claire, WI
National Provider Identifier
1457421000
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2619-125 Issued in WI
Practice address
2925 Mondovi Rd
Eau Claire, WI 54701-6141
Phone
(715) 832-0238
Fax
(715) 832-0771
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 2619-125 WI Primary

Addresses

Primary practice location

2925 Mondovi Rd
Eau Claire, WI 54701-6141

Mailing address

2925 Mondovi Rd
Eau Claire, WI 54701-6141
Phone (715) 832-0238

Other identifiers 1

IdentifierTypeStateIssuer
40971600MedicaidWI

Other names 1

  • Jane Anne Helstrom 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
I20240618003061 WI Practitioner - Mental Health Counselor 7012374614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marriage and Family Health Services, LTD.Group PAC ID 5799767505, 4 clinicians

Practice addresses (Care Compare)

2925 Mondovi Rd
Eau Claire, WI 54701-6141
Phone (715) 832-0238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2619-125WIMDMental Health Counselor
2619WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage & Family Health Services, LTD. Mental Health CurrentSince Apr 1, 2022 Accepting new patients
Marriage & Family Health Services, LTD. Mental Health Past Accepting new patients
Lutheran Social Services of Wisconsin and Upper Michigan, Inc. Past Accepting new patients

Locations

2925 Mondovi Rd
Eau Claire, WI 54701
Phone (715) 832-0238

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1457421000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 MONDOVI RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016141",
            "telephone_number": "715-832-0238",
            "fax_number": "715-832-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 MONDOVI RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016141",
            "telephone_number": "715-832-0238",
            "fax_number": "715-832-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAACKS",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2619-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40971600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "HELSTROM",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.