NPIMap

Organization Active NPI

Hafermann Counseling Collaborative, LLC

  • Professional Counselor
  • Wisconsin Rapids, WI
National Provider Identifier
1558043711
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HAFERMANN COUNSELING COLLABORATIVE, LLC
Practice address
820 Two Mile Ave
Wisconsin Rapids, WI 54494-6661
Phone
(715) 421-1107
Fax
(715) 421-1108
NPI assigned
Aug 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Janelle Hafermann, LPC, CSAC, ICSNPI 1174952352
Title
Owner
Phone
(715) 342-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

820 Two Mile Ave
Wisconsin Rapids, WI 54494-6661

Mailing address

820 Two Mile Ave
Wisconsin Rapids, WI 54494-6661
Phone (715) 421-1107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131002952 WI Part B Supplier - Clinic/Group Practice 2860845310 Receives reassigned benefits from 1 practitioner
Practice locations: Wisconsin Rapids, WI

National Provider Directory

National Provider Directory

Locations

320 W Grand Ave
Ste 204
Wisconsin Rapids, WI 54495
Phone (715) 421-1107

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1558043711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 TWO MILE AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946661",
            "telephone_number": "715-421-1107",
            "fax_number": "715-421-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 TWO MILE AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946661",
            "telephone_number": "715-421-1107",
            "fax_number": "715-421-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAFERMANN COUNSELING COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "HAFERMANN",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-342-1110",
        "authorized_official_credential": "LPC, CSAC, ICS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.