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JENNIFER MARIE DUDEK LPCIT
NPI 1013375419
Counselor - Mental Health in Shiocton, WI

Active since February 01, 2016PECOS Enrolled
N5367 MAYFLOWER RD, SHIOCTON, WI 54170(920) 986-3003(920) 986-3004 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Marie Dudek Lpcit NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MARIE DUDEK LPCIT (NPI 1013375419) is an individual mental health provider in Shiocton, Wisconsin, licensed in Wisconsin (2882-226) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013375419
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER MARIE DUDEKCredential: LPCIT
Location AddressN5367 MAYFLOWER RDShiocton, WI 54170-8934
Mailing AddressN5367 Mayflower RdShiocton, WI 54170-8934 · (920) 986-3003 · Fax (920) 986-3004
Phone(920) 986-3003
Fax(920) 986-3004
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 1, 2016
✔ NPI 1013375419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 2882-226
N5367 MAYFLOWER RD, Shiocton, WI 54170
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Marie Dudek Lpcit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214473024
PECOS Enrollment IDI20260522002309
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Dudek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ccp Clinic, LLC
19 mi
Clinical
3301 PACKERLAND DR STE B
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 29 clinicians in this Medicare group
NPI 1396431714 (920) 234-9240
Mindful Therapy Group Of Colorado, P.C.
885 mi
Psychiatric/Mental Health
3711 JFK PKWY STE 310
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Mindful Therapy Group Of Colorado, PC
  • 71 clinicians in this Medicare group
NPI 1124907407 (970) 422-7260

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAPS ACADEMY, INC
Community/Behavioral Health
N5367 MAYFLOWER RD
SHIOCTON, WI 54170
Outagamie County (920) 986-3003
NINA POWELL LCSW
Social Worker (Clinical)
N5367 MAYFLOWER RD
SHIOCTON, WI 54170
Outagamie County (920) 986-3003
KRISTEEN SCHREIBER MAC,NCC
Counselor (Professional)
N5367 MAYFLOWER RD
SHIOCTON, WI 54170
Outagamie County (920) 986-3003
MRS. MICHELE GLIME LPCT
Counselor (Mental Health)
N5367 MAYFLOWER RD
SHIOCTON, WI 54170
Outagamie County (920) 986-3003
MRS. TRACY L WILKE KOHLMAN APSW
Social Worker (Clinical)
N5367 MAYFLOWER RD
SHIOCTON, WI 54170
Outagamie County (920) 738-7795
MS. REBECCA LOUISE PEIN MS, LPC, LPCC
Counselor (Professional)
N5367 MAYFLOWER RD
SHIOCTON, WI 54170
Outagamie County (920) 986-3003
MRS. RUTHE ANN ZIMMERMAN
Counselor
N5367 MAYFLOWER RD
SHIOCTON, WI 54170
Outagamie County (920) 203-1528
JAMES D WIEDENHOEFT PARTNERSHIP
Clinic/Center (Adolescent and Children Mental Health)
N5367 MAYFLOWER RD
SHIOCTON, WI 54170
Outagamie County (920) 986-3003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Dudek's NPI number?

The NPI number for Jennifer Dudek is 1013375419. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Jennifer Dudek located?

Jennifer Dudek practices at N5367 Mayflower Rd, Shiocton, WI 54170. The listed phone number is (920) 986-3003.

What is Jennifer Dudek's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jennifer Dudek enrolled in Medicare?

Yes. Jennifer Dudek is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Dudek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Dudek reassigns Medicare benefits to 2 organizations: Ccp Clinic, LLC (De Pere, WI) and Mindful Therapy Group Of Colorado, P.C. (Fort Collins, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Dudek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Dudek accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Jennifer Dudek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Dudek was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.