MR. JEFFERSON DAVID FERGUSON LPC
NPI 1164533147
Counselor - Professional in Pewaukee, WI

Active since August 31, 2006PECOS Enrolled
353 FOREST GROVE DR STE 100, PEWAUKEE, WI 53072(262) 719-9470(262) 691-2972 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Jun 12, 2024 (2 updates tracked since 2024).

About Mr. Jefferson David Ferguson Lpc NPPES

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

MR. JEFFERSON DAVID FERGUSON LPC (NPI 1164533147) is an individual professional provider in Pewaukee, Wisconsin, licensed in Wisconsin (4885-125) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164533147
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JEFFERSON DAVID FERGUSONCredential: LPC
Location Address353 FOREST GROVE DR STE 100Pewaukee, WI 53072-3765
Mailing Address353 Forest Grove Dr Ste 100Pewaukee, WI 53072-3765 · (262) 719-9470 · Fax (262) 691-2972
Fax(262) 691-2972
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1164533147 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 · 4885-125
353 FOREST GROVE DR STE 100, Pewaukee, WI 53072

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 (PECOS)

Mr. Jefferson David Ferguson 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.

Other Providers at the Same Location NPPES 13

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

Counselor (Professional)
353 FOREST GROVE DR STE 100
PEWAUKEE, WI 53072
Counselor (Professional)
353 FOREST GROVE DR STE 100
PEWAUKEE, WI 53072
Counselor (Mental Health)
353 FOREST GROVE DR STE 100
PEWAUKEE, WI 53072
Counselor (Professional)
353 FOREST GROVE DR STE 100
PEWAUKEE, WI 53072
Counselor (Mental Health)
353 FOREST GROVE DR STE 100
PEWAUKEE, WI 53072
Counselor (Professional)
353 FOREST GROVE DR STE 100
PEWAUKEE, WI 53072
Counselor (Professional)
353 FOREST GROVE DR STE 100
PEWAUKEE, WI 53072
Counselor (Mental Health)
353 FOREST GROVE DR STE 100
PEWAUKEE, WI 53072

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 Jefferson Ferguson's NPI number?

The NPI number for Jefferson Ferguson is 1164533147. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jefferson Ferguson located?

Jefferson Ferguson practices at 353 Forest Grove Dr Ste 100, Pewaukee, WI 53072. The listed phone number is (262) 719-9470.

What is Jefferson Ferguson's specialty?

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

Is Jefferson Ferguson enrolled in Medicare?

Yes. Jefferson Ferguson is registered in the Medicare PECOS enrollment system.

What insurance does Jefferson Ferguson accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health, Providence Health Plan and Quartz and 1 other insurer list Jefferson Ferguson 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 Jefferson Ferguson was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.