Jacob Anthony Thomas Lindstrand, MS, LPC-IT, SAC-IT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5338-226 Issued in WI

Practice address

N3152 State Road 81
Monroe, WI 53566-8821

Phone

(608) 328-9352

NPI assigned

May 14, 2021

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• County of Green

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, WI
  • NPI 1992925085

  WI

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  WI

  Medicare reassignment

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1821662867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3152 STATE ROAD 81",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668821",
            "telephone_number": "608-328-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3152 STATE ROAD 81",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535668821",
            "telephone_number": "608-328-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTRAND",
        "first_name": "JACOB",
        "middle_name": "ANTHONY THOMAS",
        "credential": "MS, LPC-IT, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "19421",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5338-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Lehman, P.T.
• Olivia Caroline Lemanski
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• Ina Liko
• Abbigail Linde, RPH, PHARMD
• Kimberly Ann Lintner, PHARMD
• Rachel Long, MD
• Douglas Longmore, P.T.
• Lotus Counseling & Consulting LLC
• Melyssa Louwagie, MD

• All providers in Monroe, WI
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.