Lynne R Jindrick, SAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1569-131 Issued in WI

Practice address

Juneau County Dept of Human Services
200 Hickory St
Mauston, WI 53948

Phone

(608) 847-2400

Fax

(608) 847-9421

NPI assigned

Mar 10, 2010

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Juneau County

  dba Juneau County Department of Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mauston, WI
  • NPI 1487691697
  NPD (past)

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1770806390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JUNEAU COUNTY DEPT OF HUMAN SERVICES",
            "address_2": "200 HICKORY ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "53948",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JUNEAU COUNTY DEPT OF HUMAN SERVICES",
            "address_2": "200 HICKORY ST",
            "city": "MAUSTON",
            "state": "WI",
            "postal_code": "53948",
            "telephone_number": "608-847-2400",
            "fax_number": "608-847-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JINDRICK",
        "first_name": "LYNNE",
        "middle_name": "R",
        "credential": "SAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "1569-131",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Susan Joy Jensen, SW
• Bobbi Jo Jewison
• John W. Schaefer, O.D.
• Elizabeth Johnson
• Shawn Johnson
• Kelly Jossart, APNP, PMHNP-BC
• Ann Marie June, SW

• Addiction (Substance Use Disorder) Counselor in Mauston, WI
• Providers in Mauston, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.