Active NPI
Jennifer Helene Olkowski, LPC, CADC III
- Professional Counselor
- Appleton, WI
National Provider Identifier
1992841795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3526-125
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3526-125 | WI | MD | Professional Counselor |
| 11543 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Professional Counselor
- Menasha, WI
- NPI 1639838162
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
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.