JEREMY VERN WOODLIFF LPC
NPI 1316616592
Counselor - Professional in Wautoma, WI
About Jeremy Vern Woodliff Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY VERN WOODLIFF LPC (NPI 1316616592) is an individual professional provider in Wautoma, Wisconsin, licensed in Wisconsin (8752-125) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
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
Jeremy Vern Woodliff Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Woodliff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wisconsin Rapids, WI 54494
- Reassigned Medicare billing, Wisconsin enrollment
- 2 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jeremy Woodliff's NPI number?
The NPI number for Jeremy Woodliff is 1316616592. It was assigned to this individual provider in the NPPES registry on September 10, 2021.
Where is Jeremy Woodliff located?
Jeremy Woodliff practices at 230 Park St, Wautoma, WI 54982. The listed phone number is (920) 787-6550.
What is Jeremy Woodliff's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jeremy Woodliff enrolled in Medicare?
Yes. Jeremy Woodliff 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 Jeremy Woodliff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Woodliff reassigns Medicare benefits to Opportunity Development Centers, Inc. (Wisconsin Rapids, 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 Jeremy Woodliff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Woodliff accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Security Health Plan and UnitedHealthcare list Jeremy Woodliff 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 Jeremy Woodliff was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jeremy Vern Woodliff, LPC · NPI 1316616592
Professional provider in Wautoma, Wisconsin. Individual provider, active in the CMS NPPES registry since September 10, 2021.
## Identity
- **NPI:** 1316616592 (Entity type: Individual)
- **Enumerated:** September 10, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 8752-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 230 PARK ST, Wautoma, WI 54982-9031
- **Phone:** (920) 787-6550 · **Fax:** (920) 787-0421
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Opportunity Development Centers, Inc. (NPI 1013161587, Wisconsin Rapids, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 4, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1316616592) · Data from the CMS NPPES public registry.