JACQUELYN M TOCK LPC
NPI 1194037275
Counselor - Professional in La Crosse, WI

Q: What is Jacquelyn Tock's NPI number?

The NPI number for Jacquelyn Tock is 1194037275. It was assigned to this individual provider in the NPPES registry on July 6, 2010. The provider is also known as Jacquelyn Hammen Lpc.

Q: What is Jacquelyn Tock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Tock was last updated on January 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2010PECOS EnrolledAccepts Medicare Assignment

1910 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacquelyn M Tock Lpc NPPES

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

JACQUELYN M TOCK LPC (NPI 1194037275) is an individual professional provider in La Crosse, Wisconsin, licensed in Wisconsin (6401) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1194037275

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJACQUELYN M TOCKCredential: LPC

Location Address1910 SOUTH AVELa Crosse, WI 54601-5467

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 6, 2010

Last NPPES UpdateJanuary 3, 2024

NPPES CertifiedJanuary 3, 2024

✔ NPI 1194037275 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 · 6401

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15453 (WI)

1910 SOUTH AVE, La Crosse, WI 54601

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Other Names 1

Former Name (1)Jacquelyn Hammen Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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 and accepts Medicare assignment

Jacquelyn M Tock 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.

PECOS PAC ID9133571078

PECOS Enrollment IDI20240117000358

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 20

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

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