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JACOB KUMPFER LMFT-IT
NPI 1619497344
Marriage & Family Therapist in Kewaunee, WI

Active since June 23, 2017PECOS Enrolled
810 LINCOLN ST, KEWAUNEE, WI 54216(920) 388-7030 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 23, 2017 (2 updates tracked since 2017).

About Jacob Kumpfer Lmft-it NPPES

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

JACOB KUMPFER LMFT-IT (NPI 1619497344) is an individual marriage & family therapist in Kewaunee, Wisconsin, licensed in Wisconsin (578-228) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619497344
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJACOB KUMPFERCredential: LMFT-IT
Location Address810 LINCOLN STKewaunee, WI 54216-1140
Mailing Address810 Lincoln StKewaunee, WI 54216-1140 · (920) 388-7030
Phone(920) 388-7030
Sole ProprietorNo
Enumeration DateJune 23, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1619497344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in WI · 578-228
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
810 LINCOLN ST, Kewaunee, WI 54216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Kumpfer Lmft-it 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.

Medicare Billing Reassignment

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

County Of Kewaunee
Same address
Mental Health (Including Community Mental Health Center)
810 LINCOLN STREET
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1366431173 (920) 388-7030

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 12

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

MS. LISA MARIE BURKART MED, LPC
Counselor
810 LINCOLN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-7030
MAUREEN C O'SHEA LPC
Counselor (Professional)
810 LINCOLN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-7030
TINA K PARAL B.S.W.
Social Worker
810 LINCOLN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-7030
LINDSEY JANE JENERJOHN
Social Worker
810 LINCOLN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-7030
MR. RICHARD JAMES SEIFERT MSW CICSW ACSW
Social Worker (Clinical)
810 LINCOLN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-7030
LAUREN E MANSTON MASTER DEGREE
Speech-Language Pathologist
810 LINCOLN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-7037
JENNIFER RAE GOZDZIALSKI M.A.C.
Counselor (Mental Health)
810 LINCOLN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-7044
STEPHANIE NICOLE IOSSI BS
Social Worker
810 LINCOLN ST
KEWAUNEE, WI 54216
Kewaunee County (920) 388-7030

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 Jacob Kumpfer's NPI number?

The NPI number for Jacob Kumpfer is 1619497344. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Jacob Kumpfer located?

Jacob Kumpfer practices at 810 Lincoln St, Kewaunee, WI 54216. The listed phone number is (920) 388-7030.

What is Jacob Kumpfer's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jacob Kumpfer enrolled in Medicare?

Yes. Jacob Kumpfer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Kumpfer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Kumpfer reassigns Medicare benefits to County Of Kewaunee (Kewaunee, 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 Jacob Kumpfer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Kumpfer accept?

Health plans from Dean Health Plan list Jacob Kumpfer 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 Jacob Kumpfer was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.