HOLLISTER L JEFFERSON M.A., SAC-IT
NPI 1053059592
Counselor - Mental Health in West Bend, WI

Active since May 24, 2022
400 W RIVER DR, WEST BEND, WI 53090(262) 334-4340 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hollister L Jefferson M.a., Sac-it NPPES

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

HOLLISTER L JEFFERSON M.A., SAC-IT (NPI 1053059592) is an individual mental health provider in West Bend, Wisconsin and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1053059592
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHOLLISTER L JEFFERSONCredential: M.A., SAC-IT
Location Address400 W RIVER DRWest Bend, WI 53090-1518
Mailing Address6223 W Stevenson StMilwaukee, WI 53213-4163 · (414) 587-2212
Sole ProprietorYes
Enumeration DateMay 24, 2022
NPPES CertifiedMay 24, 2022
NPI 1053059592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19467 (WI)
400 W RIVER DR, West Bend, WI 53090

Accepted Insurance

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.

Social Worker (Clinical)
400 W RIVER DR
WEST BEND, WI 53090
Counselor (Professional)
400 W RIVER DR
WEST BEND, WI 53090
Counselor (Professional)
400 W RIVER DR
WEST BEND, WI 53090
Counselor (Professional)
400 W RIVER DR
WEST BEND, WI 53090
Counselor
400 W RIVER DR
WEST BEND, WI 53090
Counselor (Mental Health)
400 W RIVER DR
WEST BEND, WI 53090
Counselor (Professional)
400 W RIVER DR
WEST BEND, WI 53090
Counselor (Professional)
400 W RIVER DR
WEST BEND, WI 53090

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 Hollister Jefferson's NPI number?

The NPI number for Hollister Jefferson is 1053059592. It was assigned to this individual provider in the NPPES registry on May 24, 2022.

Where is Hollister Jefferson located?

Hollister Jefferson practices at 400 W River Dr, West Bend, WI 53090. The listed phone number is (262) 334-4340.

What is Hollister Jefferson's specialty?

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

What insurance does Hollister Jefferson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, HealthPartners and Medica and 4 other insurers list Hollister Jefferson 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 Hollister Jefferson was last updated on May 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.