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JEFFERSON COUNTY HUMAN SERVICE DEPT-MENTAL HEALTH
NPI 1275614919
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jefferson, WI

Active since October 18, 2006
1541 ANNEX RD, JEFFERSON, WI 53549(920) 674-3105(920) 674-6113 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jefferson County Human Service Dept-mental Health NPPES

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

JEFFERSON COUNTY HUMAN SERVICE DEPT-MENTAL HEALTH (NPI 1275614919) is a healthcare organization registered as a mental health (including community mental health center) in Jefferson, Wisconsin and active in the NPI registry since October 2006. The organization lists Brian Bellford, Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1275614919
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJEFFERSON COUNTY
Location Address1541 ANNEX RDJefferson, WI 53549
Mailing Address1541 Annex RdJefferson, WI 53549 · (920) 674-3105 · Fax (920) 674-6113
Phone(920) 674-3105
Fax(920) 674-6113
Organization SubpartNo
Authorized OfficialBrian BellfordDeputy Director · (920) 674-8147
Enumeration DateOctober 18, 2006
Last NPPES UpdateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1275614919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in WI · 1449
1541 ANNEX RD, Jefferson, WI 53549
Open in Google Maps ↗

Other Names 1

Other NameJefferson County Human Service Dept-mental Health

Other Identifiers 1

Medicaid42138100WI

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), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson County Human Service Dept-mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Jefferson County Human Service Dept-Mental Health, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker11
Mental Health Counselor5
Psychiatry4
Nurse Practitioner3
Marriage and Family Therapist1

Nearest to this location (20)

See all 24
Krystal Fredrick, APSW
Clinical Social Worker
NPI 1447020557
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-3105
✔ PECOS✔ Accepts MedicareSame address
Betsy Lane, LPC, CSAC
Mental Health Counselor
NPI 1457729436
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-3105
✔ PECOS✔ Accepts MedicareSame address
Jennifer Meindel, APNP, FNP-BC
Nurse Practitioner
NPI 1275395212
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-3105
✔ PECOS✔ Accepts MedicareSame address
Amy Prouty, LPC, CSAC
Mental Health Counselor
NPI 1295132702
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-3105
✔ PECOS✔ Accepts MedicareSame address
Rebecca Radue, M.D.
Psychiatry
NPI 1447678651
1541 ANNEX RD
Jefferson, WI 53549
(920) 723-7417
✔ PECOS✔ Accepts MedicareSame address
Michelle Rushton, MSW, LCSW
Clinical Social Worker
NPI 1235778861
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-3105
✔ PECOS✔ Accepts MedicareSame address
Anna Falci, LCSW
Clinical Social Worker
NPI 1467006817
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-8199
✔ PECOS✔ Accepts MedicareSame address
Emily Green, MSW
Clinical Social Worker
NPI 1669042503
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-5961
✔ PECOSSame address
Alex James
Clinical Social Worker
NPI 1588218994
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-8162
✔ PECOS✔ Accepts MedicareSame address
Katherin Schultz, MS, LMFT, CSAC
Marriage and Family Therapist
NPI 1659719680
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-7259
✔ PECOS✔ Accepts MedicareSame address
Brianna White
Clinical Social Worker
NPI 1962050625
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-3105
✔ PECOS✔ Accepts MedicareSame address
Sara Zwieg, LCSW
Clinical Social Worker
NPI 1275143521
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-3105
✔ PECOS✔ Accepts MedicareSame address
Krista Doerr, LPC
Mental Health Counselor
NPI 1669602413
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-8190
✔ PECOSSame address
Melvin Haggart, MD
Psychiatry
NPI 1902919087
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-3105
✔ PECOS✔ Accepts MedicareSame address
Jennifer Wendt, MA
Mental Health Counselor
NPI 1578793964
1541 ANNEX RD
Jefferson, WI 53549
(920) 674-8717
✔ PECOS✔ Accepts MedicareSame address
Amanda Schmidt, BSN, APNP, PMHNP-BC
Nurse Practitioner
NPI 1063384386
511 MADISON AVE
Fort Atkinson, WI 53538
(920) 541-3078
✔ PECOS✔ Accepts Medicare4.0 mi
Mary Bonaccorsi, APRN, DNP, FNP
Nurse Practitioner
NPI 1811927205
903 MINERAL POINT AVE
Janesville, WI 53548
(608) 756-5555
✔ PECOS✔ Accepts Medicare23 mi
Rabecca Cole, LCSW
Clinical Social Worker
NPI 1023670445
5249 E TERRACE DR
Madison, WI 53718
(608) 251-4156
✔ PECOS✔ Accepts Medicare26 mi
Matthew Sager, MD
Psychiatry
NPI 1215912936
700 S PARK ST
Madison, WI 53715
(608) 251-6100
✔ PECOS✔ Accepts Medicare30 mi
Catherine Lewis, LPC, CSAC, CS-IT
Mental Health Counselor
NPI 1629577440
514 RIVERVIEW AVE
Waukesha, WI 53188
(262) 548-7666
✔ PECOS✔ Accepts Medicare30 mi
See all 24 clinicians

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 Jefferson County's NPI number?

The NPI number for Jefferson County is 1275614919. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is also known as Jefferson County Human Service Dept-Mental Health.

Where is Jefferson County located?

Jefferson County is located at 1541 Annex Rd, Jefferson, WI 53549. The listed phone number is (920) 674-3105.

What is Jefferson County's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Jefferson County enrolled in Medicare?

Yes. Jefferson County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson County?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 5 Medicare specialties reassign their Medicare billing to Jefferson County. A 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 the clinician's services. The largest specialties are Clinical Social Worker (11), Mental Health Counselor (5) and Psychiatry (4). Of these, 15 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jefferson County accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and Quartz list Jefferson County 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 Jefferson County was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.