BETHANY N JARK LPC
NPI 1861052078
Counselor - Professional in De Pere, WI
About Bethany N Jark Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY N JARK LPC (NPI 1861052078) is an individual professional provider in De Pere, Wisconsin, licensed in Wisconsin (8642-125) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Bethany N Jark Lpc 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Bethany Jark's NPI number?
The NPI number for Bethany Jark is 1861052078. It was assigned to this individual provider in the NPPES registry on June 19, 2019. The provider is also known as Bethany N Krombholz.
Where is Bethany Jark located?
Bethany Jark practices at 400 Reid St Ste N, De Pere, WI 54115. The listed phone number is (715) 842-9500.
What is Bethany Jark's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Bethany Jark enrolled in Medicare?
Yes. Bethany Jark 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 Bethany Jark accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Network Health and 2 other insurers list Bethany Jark 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 Bethany Jark was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.
# Bethany N Jark, LPC · NPI 1861052078
Professional provider in De Pere, Wisconsin. Individual provider, active in the CMS NPPES registry since June 19, 2019.
## Identity
- **NPI:** 1861052078 (Entity type: Individual)
- **Enumerated:** June 19, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 8642-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 REID ST STE N, De Pere, WI 54115-2164
- **Phone:** (715) 842-9500 · **Fax:** (715) 848-0425
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861052078) · Data from the CMS NPPES public registry.