JACLYNN MARY FRIESEN - NPI 1932887619 - Marriage & Family Therapist in Madison, WI

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Jaclynn Mary Friesen NPPES

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

JACLYNN MARY FRIESEN (NPI 1932887619) is an individual marriage & family therapist in Madison, Wisconsin, licensed in Wisconsin (1054-228) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1932887619

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJACLYNN MARY FRIESEN

Location Address6300 ENTERPRISE LN STE 301Madison, WI 53719-1193

Mailing Address1270 Okeeffe Ave Apt 220Sun Prairie, WI 53590-4235 · (507) 210-7716

Phone(608) 828-3636

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 11, 2023

Last NPPES UpdateMay 31, 20262 updates tracked since enumeration

NPPES CertifiedMay 31, 2026

✔ NPI 1932887619 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 · 1054-228

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.

6300 ENTERPRISE LN STE 301, Madison, WI 53719

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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, Group Health Cooperative-SCW, Medica 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

Jaclynn Mary Friesen 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 ID7315467297

PECOS Enrollment IDI20250221002404

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.