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MR. JACOB M MECCA-GUILLIEN SAC-IT, LPC
NPI 1033687090
Counselor - Professional in Mukwonago, WI

Active since November 08, 2018PECOS EnrolledAccepts Medicare Assignment
400 BAY VIEW RD STE C, MUKWONAGO, WI 53149(622) 789-1191 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 19, 2022, Nov 8, 2018 (2 updates tracked since 2018).

About Mr. Jacob M Mecca-guillien Sac-it, Lpc NPPES

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

MR. JACOB M MECCA-GUILLIEN SAC-IT, LPC (NPI 1033687090) is an individual professional provider in Mukwonago, Wisconsin, licensed in Wisconsin (8241-125) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Milwaukee, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1033687090
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JACOB M MECCA-GUILLIENCredential: SAC-IT, LPC
Location Address400 BAY VIEW RD STE CMukwonago, WI 53149-1770
Mailing Address400 Bay View Rd Ste CMukwonago, WI 53149-1770 · (622) 789-1191
Phone(622) 789-1191
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 8, 2018
Last NPPES UpdateApril 19, 20222 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1033687090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 8241-125
Also ListedCounselorTaxonomy 101Y00000X · License 4208-226 (WI)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18715-130 (WI)
400 BAY VIEW RD STE C, Mukwonago, WI 53149
Open in Google Maps ↗

Secondary Practice Location 1

Location 11610 Miller Park WayWest Milwaukee, WI 53214-3604 · Phone (414) 939-7556

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 and accepts Medicare assignment

Mr. Jacob M Mecca-guillien Sac-it, 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 ID7214374503
PECOS Enrollment IDI20240321004173
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 Reassignment

Medicare enrollment records show Jacob Mecca-guillien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Counseling Services, Inc
17 mi
Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
NPI 1033127246 (262) 789-1191

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 8

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

KATHERINE DIANE COLLINS LCSW 06/13-18
Counselor (Mental Health)
400 BAY VIEW RD STE C
MUKWONAGO, WI 53149
Waukesha County (262) 789-1191
JULIE ANNE LAUBENSTEIN LMFT
Marriage & Family Therapist
400 BAY VIEW RD STE C
MUKWONAGO, WI 53149
Waukesha County (262) 999-3495
LURA M. ASBY PSY.D
Psychologist (Clinical)
400 BAY VIEW RD STE C
MUKWONAGO, WI 53149
Waukesha County (262) 999-3495
MS. STEPHANIE L COATES-MCFEELEY M.S., LPC, SAC
Counselor (Professional)
400 BAY VIEW RD STE C
MUKWONAGO, WI 53149
Waukesha County (262) 789-1191
KELLY ELIZABETH HALPIN LPC
Counselor (Professional)
400 BAY VIEW RD STE C
MUKWONAGO, WI 53149
Waukesha County (262) 999-3495
COLETTE L FELDMAN LCSW
Social Worker (Clinical)
400 BAY VIEW RD STE C
MUKWONAGO, WI 53149
Waukesha County (262) 789-1191
MRS. LAURA ANN HEIDELMEIER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
400 BAY VIEW RD STE C
MUKWONAGO, WI 53149
Waukesha County (262) 999-3495
KATELYN MARIE MCNAMARA LPC
Counselor (Professional)
400 BAY VIEW RD STE C
MUKWONAGO, WI 53149
Waukesha County (262) 458-9436

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 Jacob Mecca-guillien's NPI number?

The NPI number for Jacob Mecca-guillien is 1033687090. It was assigned to this individual provider in the NPPES registry on November 8, 2018.

Where is Jacob Mecca-guillien located?

Jacob Mecca-guillien practices at 400 Bay View Rd Ste C, Mukwonago, WI 53149. The listed phone number is (622) 789-1191.

What is Jacob Mecca-guillien's specialty?

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

Is Jacob Mecca-guillien enrolled in Medicare?

Yes. Jacob Mecca-guillien 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.

Which organization bills Medicare for Jacob Mecca-guillien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Mecca-guillien reassigns Medicare benefits to Cornerstone Counseling Services, Inc (Brookfield, WI). The 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 Jacob Mecca-guillien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Mecca-guillien accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Network Health and 2 other insurers list Jacob Mecca-guillien 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 Jacob Mecca-guillien was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.