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EDWARD JOSEPH JEDLICKA MS, LPC
NPI 1467737346
Counselor - Professional in Fond Du Lac, WI

Active since October 11, 2011PECOS Enrolled
40 CAMELOT DR, FOND DU LAC, WI 54935(920) 907-8201(920) 907-8209 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward Joseph Jedlicka Ms, Lpc NPPES

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

EDWARD JOSEPH JEDLICKA MS, LPC (NPI 1467737346) is an individual professional provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (2239-125) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fond Du Lac.

NPPES Registry Identity

NPI1467737346
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEDWARD JOSEPH JEDLICKACredential: MS, LPC
Location Address40 CAMELOT DRFond Du Lac, WI 54935-8049
Mailing Address1808 W Beltline HwyMadison, WI 53713-2334 · (209) 926-8343
Phone(920) 907-8201
Fax(920) 907-8209
Sole ProprietorNo
Enumeration DateOctober 11, 2011
Last NPPES UpdateMarch 9, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1467737346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 2239-125
40 CAMELOT DR, Fond Du Lac, WI 54935
Open in Google Maps ↗

Secondary Practice Location 1

Location 1371 E 1st StFond Du Lac, WI 54935-4563 · Phone (920) 907-8201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Network Health, Quartz.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)

Edward Joseph Jedlicka Ms, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 12

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

BRYAN MISCHLER LCSW
Social Worker (Clinical)
40 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-2300
MAKENNA MITCHELL
Behavior Analyst
40 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-3928
DR. MATTHEW D DOLL PH.D.
Psychologist (Clinical)
40 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-8201
DR. SARAH J ARNOLD PSY.D.
Psychologist
40 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-8201
ABIGAIL RUNGE APSW
Social Worker
40 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-8201
DANYEL LYNN SYMS LCSW
Social Worker (Clinical)
40 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 960-4084
ROBYN MEYER LPC-IT
Counselor (Professional)
40 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-8201
MS. PATRICIA ANN O'HEARN MSW, LCSW
Counselor (Mental Health)
40 CAMELOT DR
FOND DU LAC, WI 54935
Fond Du Lac County (920) 907-8201

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 Edward Jedlicka's NPI number?

The NPI number for Edward Jedlicka is 1467737346. It was assigned to this individual provider in the NPPES registry on October 11, 2011.

Where is Edward Jedlicka located?

Edward Jedlicka practices at 40 Camelot Dr, Fond Du Lac, WI 54935. The listed phone number is (920) 907-8201.

What is Edward Jedlicka's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Edward Jedlicka enrolled in Medicare?

Yes. Edward Jedlicka is registered in the Medicare PECOS enrollment system.

What insurance does Edward Jedlicka accept?

Health plans from Medica, Network Health and Quartz list Edward Jedlicka 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 Edward Jedlicka was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.