Jennifer L Hodgson, M.ED., LPC
Individual provider Active NPI Professional Counselor · Superior, WI
NPI 1578638201 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1578638201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6790-125 (WI)
- Practice address
- 2207 E 5TH St
Superior, WI 54880-3708 - Phone
- (218) 212-3435
- Fax
- (218) 234-2993
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2207 E 5TH St
Superior, WI 54880-3708
Phone (218) 409-8114
61320 W Fork Rd
Iron River, WI 54847-2600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240208003397 | WI | Practitioner - Mental Health Counselor | 1456794270 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6790-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Hodgson Clinical Services LLC | Professional | Current |
Accepting new patients |
| Carina Barker Clinical Practice LLC | Professional | Current |
Accepting new patients |
Locations
2207 E 5th St
Superior, WI 54880
Phone (218) 212-3435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6790-125 | WI | Yes |
Addresses
Primary practice location
2207 E 5TH St
Superior, WI 54880-3708
Mailing address
61320 W Fork Rd
Iron River, WI 54847-2600
Phone (330) 321-6489
Other providers in Superior, WI
- Fran Hillman
- Michael Joseph Hillmeyer
- Rachelle Hills
- Roseann Richards Hines
- Todd Hamilton Hnatko
- James Hoeffling
- Haley Hoefling
- Megan J Hoel
- Kenzie Hohman
- George F Holliday
All providers in Superior, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.