MOLLY JELAK LPC
NPI 1164980058
Counselor - Mental Health in Bayside, WI
About Molly Jelak Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOLLY JELAK LPC (NPI 1164980058) is an individual mental health provider in Bayside, Wisconsin, licensed in Wisconsin (7072-125) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Molly Jelak 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.
Medicare Billing Reassignment
Medicare enrollment records show Molly Jelak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, Wisconsin enrollment
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Molly Jelak's NPI number?
The NPI number for Molly Jelak is 1164980058. It was assigned to this individual provider in the NPPES registry on March 9, 2019.
Where is Molly Jelak located?
Molly Jelak practices at 905 E Bay Point Rd, Bayside, WI 53217. The listed phone number is (414) 640-3475.
What is Molly Jelak's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Molly Jelak enrolled in Medicare?
Yes. Molly Jelak 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 Molly Jelak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Molly Jelak reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Molly Jelak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Molly Jelak accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Molly Jelak 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 Molly Jelak was last updated on March 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Molly Jelak, LPC · NPI 1164980058
Mental Health provider in Bayside, Wisconsin. Individual provider, active in the CMS NPPES registry since March 9, 2019.
## Identity
- **NPI:** 1164980058 (Entity type: Individual)
- **Enumerated:** March 9, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 7072-125 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 905 E BAY POINT RD, Bayside, WI 53217-1355
- **Phone:** (414) 640-3475
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group PA (NPI 1801472634, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** March 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1164980058) · Data from the CMS NPPES public registry.