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JESSIKA ELLEN EIDEN LPC
NPI 1417688771
Counselor in Waukesha, WI

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: October 25, 2026.

Record update history: Jul 29, 2026, Aug 7, 2023 (2 updates tracked since 2023).

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, 20262 updates tracked since enumeration
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, Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jessika Eiden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gibwater Enterprises LLC
12 mi
Professional
1442 S 92ND ST
West Allis, WI 53214
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 clinicians in this Medicare group
NPI 1558176511 (414) 731-7452

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 20

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

ANNA LEE CLAUS LPC
Counselor (Professional)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Waukesha County (262) 313-8339
MRS. ATHENA KJELL
Counselor (Mental Health)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Waukesha County (262) 313-8339
DOUGLAS MESKE LCSW
Social Worker (Clinical)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Waukesha County (262) 313-8339
KATHERINE KUNZ
Counselor (Professional)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Waukesha County (262) 313-8339
ALEXIS CONDY APSW, SAC-IT
Social Worker (Clinical)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Waukesha County (262) 313-8339
ALISON DONALD LPC
Counselor (Professional)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Waukesha County (262) 313-8339
MRS. ELIZABETH M REINKE LPC
Counselor (Professional)
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Waukesha County (262) 313-8339
ANDREW HEIMAN
Counselor
2607 N GRANDVIEW BLVD STE 110
WAUKESHA, WI 53188
Waukesha County (262) 313-8339

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 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.

Where is Jessika Eiden located?

Jessika Eiden practices at 2607 N Grandview Blvd Ste 110, Waukesha, WI 53188. The listed phone number is (262) 313-8339.

What is Jessika Eiden's specialty?

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

Is Jessika Eiden enrolled in Medicare?

Yes. Jessika Eiden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessika Eiden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessika Eiden reassigns Medicare benefits to Gibwater Enterprises LLC (West Allis, 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 Jessika Eiden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessika Eiden accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and UnitedHealthcare list Jessika Eiden 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 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 3 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.