JAELYN CONNAUGHTY
NPI 1295509982
Social Worker - Clinical in Green Bay, WI

Active since November 13, 2023PECOS Enrolled
1499 6TH ST, GREEN BAY, WI 54304(920) 497-6161(888) 974-5769 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2026, Nov 13, 2023 (2 updates tracked since 2023).

About Jaelyn Connaughty NPPES

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

JAELYN CONNAUGHTY (NPI 1295509982) is an individual clinical provider in Green Bay, Wisconsin and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295509982
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJAELYN CONNAUGHTY
Location Address1499 6TH STGreen Bay, WI 54304-2252
Mailing Address1499 6th StGreen Bay, WI 54304-2252 · (920) 497-6161 · Fax (888) 974-5769
Fax(888) 974-5769
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 13, 2023
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1295509982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1499 6TH ST, Green Bay, WI 54304

Accepted 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)

Jaelyn Connaughty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698243566
PECOS Enrollment IDI20260508002004
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Behavior Technician
1499 6TH ST
GREEN BAY, WI 54304
Counselor (Mental Health)
1499 6TH ST
GREEN BAY, WI 54304
Behavior Technician
1499 6TH ST
GREEN BAY, WI 54304
Social Worker (Clinical)
1499 6TH ST
GREEN BAY, WI 54304
Social Worker (Clinical)
1499 6TH ST
GREEN BAY, WI 54304
Social Worker (Clinical)
1499 6TH ST
GREEN BAY, WI 54304
Behavior Technician
1499 6TH ST
GREEN BAY, WI 54304
Counselor (Professional)
1499 6TH ST
GREEN BAY, WI 54304

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 Jaelyn Connaughty's NPI number?

The NPI number for Jaelyn Connaughty is 1295509982. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Jaelyn Connaughty located?

Jaelyn Connaughty practices at 1499 6th St, Green Bay, WI 54304. The listed phone number is (920) 497-6161.

What is Jaelyn Connaughty's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jaelyn Connaughty enrolled in Medicare?

Yes. Jaelyn Connaughty is registered in the Medicare PECOS enrollment system.

What insurance does Jaelyn Connaughty accept?

Health plans from Network Health list Jaelyn Connaughty 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 Jaelyn Connaughty was last updated on April 7, 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.