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

Q: 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.

Q: What is Jefferson Ferguson's specialty?

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

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: October 25, 2026.

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

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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

Phone(262) 719-9470

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health 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 (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.

Medicare Billing Reassignment

Medicare enrollment records show Jefferson Ferguson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lighthouse Counseling Services, LLC

Same address

Professional

353 FOREST GROVE DR STE 100
Pewaukee, WI 53072

Reassigned Medicare billing, Wisconsin enrollment
6 clinicians in this Medicare group

NPI 1821799370 (262) 719-9470

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 14

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

LISA MILES LPC-IT

Counselor (Professional)