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

Q: 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.

Q: What is Jane Klingberg's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jane Klingberg was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

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: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2025, Sep 23, 2024, Dec 7, 2021 and 1 more (4 updates tracked since 2021).

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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, maintains a secondary practice location in Oak Park, 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 Address5756 N Yosemite LnAppleton, WI 54913-2734

Phone(920) 284-9676

Fax(920) 481-3121

Sole ProprietorYes

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1995

Enumeration DateFebruary 1, 2021

Last NPPES UpdateFebruary 25, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ 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

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Secondary Practice Location 1

Location 1843 Highland AveOak Park, IL 60304-1528 · Phone (708) 288-2936

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica 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

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.

Other Providers at the Same Location NPPES 2

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

STEVEN FRICKE

Counselor (Professional)

1620 S LAWE ST STE 1
APPLETON, WI 54915

Calumet County (920) 287-9545

LARISSA FRAVEL

Counselor (Professional)

1620 S LAWE ST STE 1
APPLETON, WI 54915

Calumet County (920) 915-0102

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.

What insurance does Jane Klingberg accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, 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 February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.