JACOB ANTHONY THOMAS LINDSTRAND MS, LPC-IT, SAC-IT
NPI 1821662867
Counselor - Professional in Monroe, WI

Q: What is Jacob Lindstrand's NPI number?

The NPI number for Jacob Lindstrand is 1821662867. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Q: What is Jacob Lindstrand's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Lindstrand was last updated on June 17, 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.

Active since May 14, 2021PECOS EnrolledAccepts Medicare Assignment

N3152 STATE ROAD 81, MONROE, WI 53566(608) 328-9352 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2021, May 14, 2021 (2 updates tracked since 2021).

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About Jacob Anthony Thomas Lindstrand Ms, Lpc-it, Sac-it NPPES

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

JACOB ANTHONY THOMAS LINDSTRAND MS, LPC-IT, SAC-IT (NPI 1821662867) is an individual professional provider in Monroe, Wisconsin, licensed in Wisconsin (5338-226) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1821662867

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameJACOB ANTHONY THOMAS LINDSTRANDCredential: MS, LPC-IT, SAC-IT

Location AddressN3152 STATE ROAD 81Monroe, WI 53566-8821

Mailing AddressN3152 State Road 81Monroe, WI 53566-8821 · (608) 328-9352

Phone(608) 328-9352

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 14, 2021

Last NPPES UpdateJune 17, 20222 updates tracked since enumeration

NPPES CertifiedJune 17, 2022

✔ NPI 1821662867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 5338-226

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 19421 (WI)

N3152 STATE ROAD 81, Monroe, WI 53566

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, 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 and accepts Medicare assignment

Jacob Anthony Thomas Lindstrand Ms, Lpc-it, Sac-it 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 ID8527501816

PECOS Enrollment IDI20240614001211

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 20

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

ERIC STROTHER LCSW

Social Worker (Clinical)