JANE EMILY KLINGBERG COUNSELOR
NPI 1265023352
Counselor - Mental Health in Appleton, WI

Active since February 01, 2021PECOS EnrolledAccepts Medicare Assignment
1620 S LAWE ST STE 1, APPLETON, WI 54915(920) 284-9676(920) 481-3121 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2026, Feb 25, 2025, Sep 23, 2024 and 2 more (5 updates tracked since 2021).

About Jane Emily Klingberg Counselor NPPES

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

JANE EMILY KLINGBERG COUNSELOR (NPI 1265023352) is an individual mental health provider in Appleton, Wisconsin, licensed in Wisconsin (11161-125) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (1995).

NPPES Registry Identity

NPI1265023352
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJANE EMILY KLINGBERGCredential: COUNSELOR
Location Address1620 S LAWE ST STE 1Appleton, WI 54915-2419
Mailing Address1620 S Lawe St Ste 1Appleton, WI 54915-2419 · (920) 284-9676 · Fax (920) 481-3121
Fax(920) 481-3121
Sole ProprietorYes
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1995
Enumeration DateFebruary 1, 2021
Last NPPES UpdateAugust 18, 20265 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1265023352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 11161-125
1620 S LAWE ST STE 1, Appleton, WI 54915

Other Identifiers 4

Other180015956IL · State Of Illinois Independent Counselor License (lcpc)
Medicaid1265023352WI
Other178000697IL · Illinois Counselor License Number
Other11161-125WI · Wisconsin Independent Counselor License (lpc)

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

Jane Emily Klingberg Counselor 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 ID3971026089
PECOS Enrollment IDI20250331000738
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 Jane Klingberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Mental Health
1620 S LAWE ST STE 1
Appleton, WI 54915
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 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.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
1620 S LAWE ST STE 1
APPLETON, WI 54915
Counselor (Professional)
1620 S LAWE ST STE 1
APPLETON, WI 54915
Clinic/Center (Mental Health (Including Community Mental Health Center))
1620 S LAWE ST STE 1
APPLETON, WI 54915
Counselor (Professional)
1620 S LAWE ST STE 1
APPLETON, WI 54915

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 Jane Klingberg's NPI number?

The NPI number for Jane Klingberg is 1265023352. It was assigned to this individual provider in the NPPES registry on February 1, 2021.

Where is Jane Klingberg located?

Jane Klingberg practices at 1620 S Lawe St Ste 1, Appleton, WI 54915. The listed phone number is (920) 284-9676.

What is Jane Klingberg's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jane Klingberg enrolled in Medicare?

Yes. Jane Klingberg 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 Jane Klingberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jane Klingberg reassigns Medicare benefits to Reflection, LLC (Appleton, WI). 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 Jane Klingberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jane Klingberg accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and UnitedHealthcare list Jane Klingberg 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 Jane Klingberg was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.