Active NPI
Jessica Rose Thering, SAC-IT, MT-BC, WMTR
- Professional Counselor
- Grafton, WI
National Provider Identifier
1932590916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17328
- Practice address
- 1971 Washington St
Suite 200
Grafton, WI 53024-2102 - Phone
- (262) 377-6276
- NPI assigned
- Feb 11, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 117 | WI | |
| Professional Counselor | 101YP2500X | 17328 | WI | Primary |
Addresses
Primary practice location
1971 Washington St
Suite 200
Grafton, WI 53024-2102
Mailing address
1971 Washington St
Suite 200
Grafton, WI 53024-2102
Phone (262) 377-6276
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1245 Cheyenne Ave
Suite 104
Grafton, WI 53024-9323
Phone (262) 618-2832
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17328 | WI | MD | Professional Counselor |
| 117 | WI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J R Thering, LLC | Professional | Current | Accepting new patients |
| Alarus Home Health LLC | Past | Accepting new patients | |
| Alarus Healthcare, LLC | Counselor | Past | Accepting new patients |
Locations
1245 Cheyenne Ave
Ste 104
Grafton, WI 53024
Phone (262) 377-2668
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 and National Provider Directory roles.
-
- Professional Counselor
- Grafton, WI
- NPI 1700637246
-
- In Home Supportive Care Agency
- Grafton, WI
- NPI 1164834974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1932590916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1971 WASHINGTON ST",
"address_2": "SUITE 200",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530242102",
"telephone_number": "262-377-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 WASHINGTON ST",
"address_2": "SUITE 200",
"city": "GRAFTON",
"state": "WI",
"postal_code": "530242102",
"telephone_number": "262-377-6276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THERING",
"first_name": "JESSICA",
"middle_name": "ROSE",
"credential": "SAC-IT, MT-BC, WMTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "117",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "17328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grafton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.