Individual provider Active NPI

Jaclynn Mary Friesen

  • Marriage & Family Therapist
  • Madison, WI
National Provider Identifier
1932887619
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2242-124 Issued in WI
Practice address
6300 Enterprise LN Ste 301
Madison, WI 53719-1193
Phone
(608) 828-3636
NPI assigned
Jul 11, 2023
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2242-124 WI Primary

Addresses

Primary practice location

6300 Enterprise LN Ste 301
Madison, WI 53719-1193

Mailing address

6300 Enterprise LN Ste 301
Madison, WI 53719-1193
Phone (608) 828-3636

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
I20250221002404 WI Practitioner - Marriage and Family Therapist 7315467297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uplands Counseling Associates IncGroup PAC ID 4981635653, 11 clinicians

Practice addresses (Care Compare)

6300 Enterprise LN
Suite 301
Madison, WI 53719-1190
Phone (608) 828-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1054-228WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage & Family Solutions, LLC CurrentSince Jul 16, 2023 Accepting new patients
Uplands Counseling Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients

Locations

1118 Professional Dr
Dodgeville, WI 53533
Phone (608) 828-3636

6131 Nesbitt Rd
Ste 200
Fitchburg, WI 53719
Phone (608) 203-6267

6300 Enterprise Ln
Ste 301
Madison, WI 53719
Phone (608) 828-3636

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1932887619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 ENTERPRISE LN STE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191193",
            "telephone_number": "608-828-3636",
            "fax_number": "608-828-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 ENTERPRISE LN STE 301",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191193",
            "telephone_number": "608-828-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIESEN",
        "first_name": "JACLYNN",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "2242-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.