JESSE F KUSSEROW LPC
NPI 1033656079
Counselor - Professional in Green Bay, WI

Active since January 29, 2017PECOS EnrolledAccepts Medicare Assignment
2300 RIVERSIDE DR, GREEN BAY, WI 54301(920) 541-6646 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Jan 29, 2017 (2 updates tracked since 2017).

About Jesse F Kusserow Lpc NPPES

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

JESSE F KUSSEROW LPC (NPI 1033656079) is an individual professional provider in Green Bay, Wisconsin, licensed in Wisconsin (7644125) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033656079
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJESSE F KUSSEROWCredential: LPC
Location Address2300 RIVERSIDE DRGreen Bay, WI 54301-1900
Mailing Address2300 Riverside DrGreen Bay, WI 54301-1900 · (920) 541-6646
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 29, 2017
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
NPI 1033656079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 7644125
2300 RIVERSIDE DR, Green Bay, WI 54301

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jesse F Kusserow Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597115584
PECOS Enrollment IDI20240103003065
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.

Other Providers at the Same Location NPPES 5

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

Community/Behavioral Health
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Non-emergency Medical Transport (VAN)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Counselor (Mental Health)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Counselor (Mental Health)
2300 RIVERSIDE DR
GREEN BAY, WI 54301
Counselor (Professional)
2300 RIVERSIDE DR
GREEN BAY, WI 54301

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 Jesse Kusserow's NPI number?

The NPI number for Jesse Kusserow is 1033656079. It was assigned to this individual provider in the NPPES registry on January 29, 2017.

Where is Jesse Kusserow located?

Jesse Kusserow practices at 2300 Riverside Dr, Green Bay, WI 54301. The listed phone number is (920) 541-6646.

What is Jesse Kusserow's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jesse Kusserow enrolled in Medicare?

Yes. Jesse Kusserow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jesse Kusserow accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Providence Health Plan and UnitedHealthcare list Jesse Kusserow 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 Jesse Kusserow was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.