Individual provider Active NPI

Jane Marbury Keggi, MSW LCSW

  • Psychologist
  • Appleton, WI
National Provider Identifier
1578625539
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LCSW 594-123 Issued in WI
Practice address
103 W College Ave
Suite 815
Appleton, WI 54911
Phone
(920) 733-1992
Fax
(920) 733-1866
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LCSW 594-123 WI Primary
Social Worker 104100000X LCSW 594-123 WI

Addresses

Primary practice location

103 W College Ave
Suite 815
Appleton, WI 54911

Mailing address

103 W College Ave
Suite 815
Appleton, WI 54911
Phone (920) 733-1992

Other names 1

  • Ms. Jane Massie Marbury Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 594-123WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Burkham, PH.D., S.C. Psychologist Past Accepting new patients
Wellness Counseling Center, L.L.C. PastSince Jan 1, 1996 Accepting new patients

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1578625539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W COLLEGE AVE",
            "address_2": "SUITE 815",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-733-1992",
            "fax_number": "920-733-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W COLLEGE AVE",
            "address_2": "SUITE 815",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54911",
            "telephone_number": "920-733-1992",
            "fax_number": "920-733-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGGI",
        "first_name": "JANE",
        "middle_name": "MARBURY",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "LCSW 594-123",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "LCSW 594-123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "MARBURY",
            "middle_name": "MASSIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.