Individual provider Active NPI

Jessica Rose Thering, SAC-IT, MT-BC, WMTR

  • Professional Counselor
  • Grafton, WI
National Provider Identifier
1932590916
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17328 Issued in WI
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

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401002293 WI Practitioner - Mental Health Counselor 8921446667 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
17328WIMDProfessional Counselor
117WIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
J R Thering, LLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Alarus Home Health LLC Past Accepting new patients
Alarus Healthcare, LLC Counselor PastSince Mar 16, 2014 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.

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

Verify at the official NPI Registry.