Individual provider Active NPI

Jessi S Way, MS

  • Professional Counselor
  • Wausau, WI
National Provider Identifier
1982198198
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3954-226 Issued in WI
Practice address
530 Grant St
Wausau, WI 54403-4738
Phone
(715) 845-5493
Fax
(715) 298-6365
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3954-226 WI Primary

Addresses

Primary practice location

530 Grant St
Wausau, WI 54403-4738

Mailing address

530 Grant St
Wausau, WI 54403-4738

Other names 1

  • Jessi S Way Former name

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
I20240823000748 WI Practitioner - Mental Health Counselor 9638618564 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Behavioral Health Clinic LLCGroup PAC ID 8628409885, 43 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

2450 Vineyard Dr
Plover, WI 54467-3973
Phone (715) 342-0290

630 S 36TH Ave
Wausau, WI 54401-3930
Phone (715) 842-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3954-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Mar 2, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 2, 2026 Accepting new patients
Marshfield Clinic Inc Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
MCHS Hospitals Inc Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Flambeau Hospital Inc Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Memorial Hospital Inc Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 2, 2026 Accepting new patients
MCHS Hospitals Inc Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Memorial Hospital Inc CurrentSince Mar 2, 2026 Accepting new patients
Flambeau Hospital Inc Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Behavioral Health Clinic, LLC Professional CurrentSince Aug 9, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc Single Specialty CurrentSince Mar 2, 2026 Accepting new patients
Lakeview Medical Center Inc of Rice Lake Single Specialty CurrentSince Mar 2, 2026 Accepting new patients

Locations

201 N Main St
Ste 409
Fort Atkinson, WI 53538
Phone (608) 888-6381

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

2417 Post Rd
Stevens Point, WI 54481
Phone (715) 544-6144

630 S 36th Ave
Wausau, WI 54401
Phone (414) 301-1060

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1982198198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 GRANT ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034738",
            "fax_number": "715-298-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 GRANT ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034738",
            "telephone_number": "715-845-5493",
            "fax_number": "715-298-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "JESSI",
        "middle_name": "S",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3954-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSI",
            "last_name": "WAY",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.