GREEN LAKE COUNTY DHHS
NPI 1780867408
Counselor - Professional in Green Lake, WI

Active since December 17, 2007
571 COUNTY ROAD A, GREEN LAKE, WI 54941(920) 294-4070(920) 294-4139 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2018, Nov 18, 2016 (2 updates tracked since 2016).

About Green Lake County Dhhs NPPES

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

GREEN LAKE COUNTY DHHS (NPI 1780867408) is a healthcare organization registered as a professional in Green Lake, Wisconsin and active in the NPI registry since December 2007. The organization lists Jason N. Jerome, Director, as its authorized official.

NPPES Registry Identity

NPI1780867408
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCOUNTY OF GREEN LAKE
Location Address571 COUNTY ROAD AGreen Lake, WI 54941
Mailing Address571 County Road AGreen Lake, WI 54941-8630 · (920) 294-4070 · Fax (920) 294-4139
Fax(920) 294-4139
Organization SubpartNo
Authorized OfficialJason N. JeromeDirector · (920) 294-4070
Enumeration DateDecember 17, 2007
Last NPPES UpdateJuly 3, 20182 updates tracked since enumeration
✔ NPI 1780867408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
571 COUNTY ROAD A, Green Lake, WI 54941

Other Names 1

Doing Business AsGreen Lake County Dhhs

Other Identifiers 1

Medicaid42139800WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Lake County Dhhs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Green Lake County Dhhs, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Mental Health Counselor
NPI 1811105851
571 COUNTY ROAD A
Green Lake, WI 54941
(920) 294-4070
✔ PECOS✔ Accepts Medicare2.4 mi
Mental Health Counselor
NPI 1639545023
571 COUNTY ROAD A
Green Lake, WI 54941
(920) 294-4070
✔ PECOS✔ Accepts Medicare2.4 mi
Mental Health Counselor
NPI 1700388782
571 COUNTY ROAD A
Green Lake, WI 54941
(920) 294-4070
✔ PECOS✔ Accepts Medicare2.4 mi
Mental Health Counselor
NPI 1689278590
553 BROADWAY
Berlin, WI 54923
(920) 204-6590
✔ PECOS✔ Accepts Medicare8.3 mi
Mental Health Counselor
NPI 1083274534
W2333 COMMERCIAL ST
Poy Sippi, WI 54967
(920) 379-0009
✔ PECOS20 mi
Psychiatry
NPI 1821159138
200 S HICKORY ST
Mauston, WI 53948
(608) 847-2400
✔ PECOS✔ Accepts Medicare57 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 County Of Green Lake's NPI number?

The NPI number for County Of Green Lake is 1780867408. It was assigned to this organization in the NPPES registry on December 17, 2007. The provider is doing business as Green Lake County Dhhs.

Where is County Of Green Lake located?

County Of Green Lake is located at 571 County Road A, Green Lake, WI 54941. The listed phone number is (920) 294-4070.

What is County Of Green Lake's specialty?

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

Is County Of Green Lake enrolled in Medicare?

Yes. County Of Green Lake is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Green Lake?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to County Of Green Lake. A 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 the clinician's services. The largest specialties are Mental Health Counselor (5) and Psychiatry (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does County Of Green Lake accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Quartz and Security Health Plan list County Of Green Lake 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 County Of Green Lake was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.