Kelly Marie Jaminski

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

324 S Main St.
Verona, WI 53593

Phone

(608) 244-4859

Fax

(608) 244-6809

NPI assigned

Jan 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Kelly Marie Costigan Former name

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Insight Counseling & Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1447673702

  Professional

  Medicare reassignment NPD
• Quest Counseling and Consultation Center, LLC

  • Mental Health Counselor
  • Madison, WI
  • NPI 1912499351
  NPD (past)

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1497229249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S MAIN ST.",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "53593",
            "telephone_number": "608-244-4859",
            "fax_number": "608-244-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S MAIN ST.",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "53593",
            "telephone_number": "608-244-4859",
            "fax_number": "608-244-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMINSKI",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912499351",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "COSTIGAN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Infinite Relationships LLC
• Brittany Innes, OTR/L
• Sophia Gabrielle Izydor
• Ariele J Jackson
• Sarah Jean James, D.O.
• Kristina Jenich
• Rachel Jermann, DPT
• John a. Schacherl D.D.S.
• Emily Jollota, MSOTR/L
• Megan Jutting

• Professional Counselor in Verona, WI
• Providers in Verona, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.