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JESEN DANIEL
NPI 1508230632
Counselor - Professional in West Bend, WI

Active since December 01, 2015PECOS EnrolledAccepts Medicare Assignment
111 EAST WASHINGTON ST, AFFILIATED CLINICAL SERVICES, WEST BEND, WI 53095(262) 338-2717(262) 338-9767 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesen Daniel NPPES

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

JESEN DANIEL (NPI 1508230632) is an individual professional provider in West Bend, Wisconsin, licensed in Wisconsin (5809 125) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1508230632
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESEN DANIEL
Location Address111 EAST WASHINGTON ST, AFFILIATED CLINICAL SERVICESWest Bend, WI 53095
Mailing Address111 East Washington St, Affiliated Clinical ServicesWest Bend, WI 53095
Phone(262) 338-2717
Fax(262) 338-9767
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 1, 2015
✔ NPI 1508230632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 5809 125
Also ListedCounselorTaxonomy 101Y00000X · License 5809 125 (WI)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 5809 125 (WI)
111 EAST WASHINGTON ST, West Bend, WI 53095
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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, 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 and accepts Medicare assignment

Jesen Daniel 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 ID9032559711
PECOS Enrollment IDI20240429000945
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.

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 Jesen Daniel's NPI number?

The NPI number for Jesen Daniel is 1508230632. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Jesen Daniel located?

Jesen Daniel practices at 111 East Washington St Affiliated Clinical Services, West Bend, WI 53095. The listed phone number is (262) 338-2717.

What is Jesen Daniel's specialty?

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

Is Jesen Daniel enrolled in Medicare?

Yes. Jesen Daniel 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 Jesen Daniel accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and UnitedHealthcare list Jesen Daniel 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 Jesen Daniel was last updated on December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.