Active NPI
Jane Elizabeth Wisneski
- Professional Counselor
- Appleton, WI
National Provider Identifier
1720217482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4615-125
- Practice address
- 821 E 1St Ave
Suite 5
Appleton, WI 54911-1586 - Phone
- (920) 364-9655
- Fax
- (920) 364-9655
- NPI assigned
- Jul 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4615-125 | WI | Primary |
Addresses
Primary practice location
821 E 1St Ave
Suite 5
Appleton, WI 54911-1586
Mailing address
821 E 1St Ave
Suite 5
Appleton, WI 54911-1586
Phone (920) 364-9655
Other names 1
- Ms. Jane Elizabeth Wisneski
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 |
|---|---|---|---|
| 4615-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1720217482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 E 1ST AVE",
"address_2": "SUITE 5",
"city": "APPLETON",
"state": "WI",
"postal_code": "549111586",
"telephone_number": "920-364-9655",
"fax_number": "920-364-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 E 1ST AVE",
"address_2": "SUITE 5",
"city": "APPLETON",
"state": "WI",
"postal_code": "549111586",
"telephone_number": "920-364-9655",
"fax_number": "920-364-9655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISNESKI",
"first_name": "JANE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-02",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4615-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "WISNESKI",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"credential": "LPC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Appleton, WI
- Wisconsin Lutheran Child & Family Service (Christian Family Counseling)
- Wisconsin Lutheran Child & Family Service, Inc (Christian Family Counseling)
- Wisconsin Spine and Pain SC
- Wisconsin Vision, LLC
- Wisconsin Wellness MH, LLC (Wisconsin Wellness)
- Michelle Wisneski
- Brian Withrow
- Analise Witkowski, APNP
- Danielle Witon, SAC
- Julia T. Witt, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.