J R Thering, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

J R THERING, LLC

Practice address

1245 Cheyenne Ave Ste 104
Grafton, WI 53024-9323

Phone

(262) 618-2832

Fax

(262) 293-9777

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Dawn Liberski

Title

Contractor and Credentialor

Phone

(414) 426-8910

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

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

• Jessica Rose Thering, SAC-IT, MT-BC, WMTR

  • Professional Counselor
  • Grafton, WI
  • NPI 1932590916
  Medicare reassignment NPD

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1700637246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 CHEYENNE AVE STE 104",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249323",
            "telephone_number": "262-618-2832",
            "fax_number": "262-293-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CHEYENNE AVE STE 104",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249323",
            "telephone_number": "262-618-2832",
            "fax_number": "262-293-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J R THERING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "LIBERSKI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CONTRACTOR AND CREDENTIALOR",
        "authorized_official_telephone_number": "414-426-8910"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Humpal, PA-C
• Dona Marie Idt, CPHT
• Ihc-Urgent Care Services LLC
• Indigo Family Homes Inc
• Umbreen Anum Iqbal, CAA
• Abdel Aziz Ahmad Jaffan, M.D.
• Craig Leo Jankuski, PT
• Andrew David Javoroski
• Elizabeth Jonas, RN
• Jessie Rachelle Jones, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.