Active NPI
Jennifer Worley
- Professional Counselor
- Delafield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4001-125
- Practice address
- 3195 Hillside Dr
Delafield, WI 53018-2189 - Phone
- (262) 646-9960
- Fax
- (262) 646-9961
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 4001-125 | WI | Primary |
Addresses
Primary practice location
3195 Hillside Dr
Delafield, WI 53018-2189
Mailing address
3195 Hillside Dr
Delafield, WI 53018-2189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972824571 | Other | WI | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jworley1131061@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
725 American Ave
Waukesha, WI 53188-5099
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Healing Hearts Family Counseling Center, LLC | Past | Accepting new patients |
Locations
N57W24950 N Corporate Cir
Sussex, WI 53089
Phone (262) 820-3093
721 American Ave
Ste 501
Waukesha, WI 53188
Phone (262) 928-2396
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
Interoperability endpoints
- jworley1131061@direct.uwhealth.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1760523559
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sun Prairie, WI
- NPI 1972824571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1851608731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3195 HILLSIDE DR",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530182189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3195 HILLSIDE DR",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "530182189",
"telephone_number": "262-646-9960",
"fax_number": "262-646-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORLEY",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4001-125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1972824571",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jworley1131061@direct.uwhealth.org",
"affiliation": "N",
"address_1": "20 S Park St",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151348",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.