Individual provider Active NPI

Jean R Lemanski, LPC, CSAC, ICS

  • Addiction (Substance Use Disorder) Counselor
  • Wisconsin Rapids, WI
National Provider Identifier
1497739486
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12117 Issued in WI
Practice address
111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone
(715) 421-8845
Fax
(715) 421-2266
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12117 WI Primary
Clinical Social Worker 1041C0700X 605-121 WI
Mental Health Counselor 101YM0800X 31078 WI

Addresses

Primary practice location

111 W Jackson St
Wisconsin Rapids, WI 54495-2702

Mailing address

111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone (715) 421-8845

Other identifiers 2

IdentifierTypeStateIssuer
39721200MedicaidWI
55941OtherWISECURITY INS

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
I20250408001072 WI Practitioner - Mental Health Counselor 3870017221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of WoodGroup PAC ID 3476554692, 15 clinicians

Practice addresses (Care Compare)

111 W Jackson St
Wisconsin Rapids, WI 54495-2702
Phone (715) 421-8820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31078WIMDPsychologist
605-121WIMDClinical Social Worker
12117WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wood Addiction (Substance Use Disorder) CurrentSince Apr 3, 2025 Accepting new patients
County of Wood CurrentSince Apr 3, 2025 Accepting new patients

Locations

111 W Jackson St
Wisconsin Rapids, WI 54495
Phone (715) 421-8820

Organizations & group practices 2

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1497739486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952702",
            "telephone_number": "715-421-8845",
            "fax_number": "715-421-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952702",
            "telephone_number": "715-421-8845",
            "fax_number": "715-421-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMANSKI",
        "first_name": "JEAN",
        "middle_name": "R",
        "credential": "LPC, CSAC, ICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "12117",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "605-121",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "31078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39721200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY INS",
            "identifier": "55941",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

Verify at the official NPI Registry.