Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JESSIKA ELLEN EIDEN LPC
NPI 1417688771
Counselor in Waukesha, WI

Q: What is Jessika Eiden's NPI number?

The NPI number for Jessika Eiden is 1417688771. It was assigned to this individual provider in the NPPES registry on June 17, 2022. The provider is also known as Jessika Ellen Gerg.

Q: What is Jessika Eiden's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessika Eiden was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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 June 17, 2022PECOS Enrolled

2607 N GRANDVIEW BLVD STE 110, WAUKESHA, WI 53188(262) 313-8339 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jessika Ellen Eiden Lpc NPPES

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

JESSIKA ELLEN EIDEN LPC (NPI 1417688771) is an individual counselor in Waukesha, Wisconsin, licensed in Wisconsin (11743-125) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Germantown, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417688771

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameJESSIKA ELLEN EIDENCredential: LPC

Location Address2607 N GRANDVIEW BLVD STE 110Waukesha, WI 53188-1690

Mailing AddressW175n11163 Stonewood Dr Ste 202Germantown, WI 53022-6502 · (414) 215-0287

Phone(262) 313-8339

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 17, 2022

Last NPPES UpdateJuly 29, 2026

NPPES CertifiedJuly 29, 2026

✔ NPI 1417688771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WI · 11743-125

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2607 N GRANDVIEW BLVD STE 110, Waukesha, WI 53188

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Other Names 1

Former Name (1)Jessika Ellen Gerg

Secondary Practice Location 1

Location 1W175N11163 Stonewood Dr Ste 202Germantown, WI 53022-6502 · Phone (414) 458-2481

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health 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 (PECOS)

Jessika Ellen Eiden Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951895184

PECOS Enrollment IDI20251215001674

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 20

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

ANNA LEE CLAUS LPC

Counselor (Professional)