Active NPI
Jenna Dale
- Mental Health Counselor
- Burlington, WI
National Provider Identifier
1689547440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8146226
- Practice address
- 615 N Pine St
Burlington, WI 53105-1492 - Phone
- (414) 666-4211
- NPI assigned
- Sep 27, 2025
- Last updated
- Sep 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8146226 | WI | Primary |
Addresses
Primary practice location
615 N Pine St
Burlington, WI 53105-1492
Mailing address
950 W Monroe St Unit 414
Chicago, IL 60607-2981
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8146226 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758931200000",
"number": "1689547440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 W MONROE ST UNIT 414",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N PINE ST",
"city": "BURLINGTON",
"state": "WI",
"postal_code": "531051492",
"telephone_number": "414-666-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-27",
"last_updated": "2025-09-27",
"certification_date": "2025-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "8146226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.