Jessica Dallman, MA, LPC NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6985-125 Issued in WI

Practice address

1523 Wisconsin 78 Trunk
Mount Horeb, WI 53572

Phone

(701) 870-0022

NPI assigned

Dec 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Natural Wisdom Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Horeb, WI
  • NPI 1811509979
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1780059238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 WISCONSIN 78 TRUNK",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "53572",
            "telephone_number": "701-870-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 WISCONSIN 78 TRUNK",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "53572",
            "telephone_number": "701-870-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLMAN",
        "first_name": "JESSICA",
        "credential": "MA, LPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-09",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0014141",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6985-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://naturalwisdomcounseling.securepatientarea.com/portal/index/",
            "affiliation": "N",
            "endpointDescription": "NWC Secure Patient Area",
            "address_1": "1523 Wisconsin 78 Trunk",
            "city": "Mount Horeb",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa M Cole, MT-BC, WMTR
• Ian Connors, DPT
• Angela M Cotey, DDS
• Douglas B. Cox, D.C.
• CT Fitness and Rehabilitation LLC
• Kayla Daniels, LCSW
• Malcolm M Decamp, M.D.
• Deer Dale Healthcare LLC
• Dennis Adler DDS SC
• Dorissa Denure

• Mental Health Counselor in Mount Horeb, WI
• Providers in Mount Horeb, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.