Individual provider Active NPI

Jack O Wheeler

  • Professional Counselor
  • Janesville, WI
National Provider Identifier
1861241317
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12549125 Issued in WI
Practice address
1 S Main St Ste 250
Janesville, WI 53545-3939
Phone
(608) 757-0404
Fax
(608) 757-2319
NPI assigned
May 16, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12549125 WI Primary

Addresses

Primary practice location

1 S Main St Ste 250
Janesville, WI 53545-3939

Mailing address

PO Box 8010
Janesville, WI 53547-8010
Phone (608) 757-0404

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

LicenseStateTypeSpecialty
12549125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling Services LTD. CurrentSince May 1, 2013 Accepting new patients

Locations

1 S Main St
Ste 250
Janesville, WI 53545
Phone (608) 757-0404

1 S Main St
Janesville, WI 53545
Phone (608) 757-0404

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1861241317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8010",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535478010",
            "telephone_number": "608-757-0404",
            "fax_number": "608-757-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST STE 250",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453939",
            "telephone_number": "608-757-0404",
            "fax_number": "608-757-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JACK",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-16",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "12549125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.