Jacqueline J Baures, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11214-125 Issued in WI

Practice address

517 Court St RM 503
Neillsville, WI 54456-1976

Phone

(715) 937-6063

NPI assigned

Apr 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Service Associates, SCGroup PAC ID 8426948746, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Community Service Associates, SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portage, WI
  • NPI 1780610923
  Medicare reassignment Care Compare group NPD
• Clark County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Neillsville, WI
  • NPI 1598986564
  Medicare reassignment NPD
• Clark County

  • Skilled Nursing Facility
  • Owen, WI
  • NPI 1497812697
  NPD

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1508501131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 E 4TH ST",
            "city": "OWEN",
            "state": "WI",
            "postal_code": "544609514",
            "telephone_number": "715-937-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 COURT ST RM 503",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561976",
            "telephone_number": "715-937-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAURES",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5159-226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11214-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200049",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Vans Inc.
• Andrea Michelle Anderson, MSW, LCSW
• Constante S. Avecilla, MD
• Sandra Lee Back, RN
• Louis A Benoist, MD
• Dorene Joy Binder, PT
• Susan C Bird, OT
• Black River Chiropractic Center, SC
• Jeremiah James Bogdonovich

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.