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JACQUELINE PATRICIA NICCOLAI LPC
NPI 1093475477
Counselor - Professional in Kenosha, WI

Active since December 27, 2021PECOS Enrolled
7919 48TH AVE STE 200, KENOSHA, WI 53142(414) 622-0157 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Dec 30, 2024, Dec 27, 2021 (3 updates tracked since 2021).

About Jacqueline Patricia Niccolai Lpc NPPES

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

JACQUELINE PATRICIA NICCOLAI LPC (NPI 1093475477) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (10474-125) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093475477
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE PATRICIA NICCOLAICredential: LPC
Location Address7919 48TH AVE STE 200Kenosha, WI 53142-2023
Mailing Address7919 48th AveKenosha, WI 53142-2023 · (602) 565-6662
Phone(414) 622-0157
Sole ProprietorYes
Enumeration DateDecember 27, 2021
Last NPPES UpdateApril 17, 20263 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1093475477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 10474-125
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License TPMC6693 (FL), 068.0136820TELE (VT)
7919 48TH AVE STE 200, Kenosha, WI 53142
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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), Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Patricia Niccolai Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jacqueline Niccolai's NPI number?

The NPI number for Jacqueline Niccolai is 1093475477. It was assigned to this individual provider in the NPPES registry on December 27, 2021.

Where is Jacqueline Niccolai located?

Jacqueline Niccolai practices at 7919 48th Ave Ste 200, Kenosha, WI 53142. The listed phone number is (414) 622-0157.

What is Jacqueline Niccolai's specialty?

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

Is Jacqueline Niccolai enrolled in Medicare?

Yes. Jacqueline Niccolai is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Niccolai accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Providence Health Plan and UnitedHealthcare list Jacqueline Niccolai 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 Jacqueline Niccolai was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.