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JEREMY VERN WOODLIFF LPC
NPI 1316616592
Counselor - Professional in Wautoma, WI

Active since September 10, 2021PECOS EnrolledAccepts Medicare Assignment
230 PARK ST, WAUTOMA, WI 54982(920) 787-6550(920) 787-0421 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Sep 10, 2021 (2 updates tracked since 2021).

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

NPI1316616592
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJEREMY VERN WOODLIFFCredential: LPC
Location Address230 PARK STWautoma, WI 54982-9031
Mailing AddressPo Box 1230Wautoma, WI 54982-1230 · (920) 787-6550
Phone(920) 787-6550
Fax(920) 787-0421
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 10, 2021
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1316616592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 8752-125
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 4018-226 (WI)
230 PARK ST, Wautoma, WI 54982
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Providence Health Plan 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

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.

PECOS PAC ID2062942139
PECOS Enrollment IDI20250214002726
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 11

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

ANDREA LEE BEHNKE APSW, SAC-IT
Social Worker
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
MR. PAUL FRANCIS THEYEL CICSW
Counselor (Mental Health)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
BRIANNA J KULIBERT LPC
Counselor (Professional)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
DR. BARON PERLMAN PH D
Psychologist (Cognitive & Behavioral)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
PATTI A WOHLFEIL RN
Registered Nurse (Community Health)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6590
KATRINA L DOROW STEVENS MA
Counselor (Professional)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
RENEE L SOROKO MS, LPC
Social Worker
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
KEELA MARIE PHILLIPS APSW
Social Worker
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550

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.

What insurance does Jeremy Woodliff accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Providence 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.