Individual provider Active NPI

Jennifer Helene Olkowski, LPC, CADC III

  • Professional Counselor
  • Appleton, WI
National Provider Identifier
1992841795
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3526-125 Issued in WI
Practice address
3301 N Ballard Rd
Suite C
Appleton, WI 54911-8988
Phone
(920) 202-3954
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11543 WI
Professional Counselor 101YP2500X 3526-125 WI Primary

Addresses

Primary practice location

3301 N Ballard Rd
Suite C
Appleton, WI 54911-8988

Mailing address

3301 N Ballard Rd
Suite C
Appleton, WI 54911-8988
Phone (920) 202-3954

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
3526-125WIMDProfessional Counselor
11543WIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jenuine Courage Counseling, LLC Professional Current Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

1477 Kenwood Dr
Ste 200
Menasha, WI 54952
Phone (920) 215-1553

Interoperability endpoints

  • Direct secure messaging: jenniferolkowski@tdh.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1992841795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 N BALLARD RD",
            "address_2": "SUITE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118988",
            "telephone_number": "920-202-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 N BALLARD RD",
            "address_2": "SUITE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118988",
            "telephone_number": "920-202-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLKOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "HELENE",
        "credential": "LPC, CADC III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "11543",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3526-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.