MARK JONATHAN OLDENBURG LPC
NPI 1275261935
Counselor - Professional in Juneau, WI

Q: What is Mark Oldenburg's NPI number?

The NPI number for Mark Oldenburg is 1275261935. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Q: What is Mark Oldenburg'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 Mark Oldenburg was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 10, 2022PECOS Enrolled

199 COUNTY ROAD DF FL 3, JUNEAU, WI 53039(920) 386-4094(920) 386-4564 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2026, Aug 10, 2022 (2 updates tracked since 2022).

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About Mark Jonathan Oldenburg Lpc NPPES

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

MARK JONATHAN OLDENBURG LPC (NPI 1275261935) is an individual professional provider in Juneau, Wisconsin, licensed in Wisconsin (12445) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275261935

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMARK JONATHAN OLDENBURGCredential: LPC

Location Address199 COUNTY ROAD DF FL 3Juneau, WI 53039-9512

Mailing Address900 Fox Creek Dr Apt 5Watertown, WI 53098-1314 · (262) 366-7948

Phone(920) 386-4094

Fax(920) 386-4564

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 10, 2022

Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1275261935 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 · 12445

199 COUNTY ROAD DF FL 3, Juneau, WI 53039

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Jonathan Oldenburg Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961978184

PECOS Enrollment IDI20260415002975

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.

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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.

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