JEREMY R KOEHL MSSW, LCSW,CADCIII
NPI 1972714053
Counselor - Addiction (Substance Use Disorder) in Washburn, WI

Active since May 24, 2007
21 WEST OMAHA STREET, WASHBURN, WI 54891(715) 373-0160(715) 373-0162 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy R Koehl Mssw, Lcsw,cadciii NPPES

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

JEREMY R KOEHL MSSW, LCSW,CADCIII (NPI 1972714053) is an individual addiction (substance use disorder) provider in Washburn, Wisconsin, licensed in Wisconsin (10748) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1972714053
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY R KOEHLCredential: MSSW, LCSW,CADCIII
Location Address21 WEST OMAHA STREETWashburn, WI 54891-0036
Mailing Address21 West Omaha StreetWashburn, WI 54891-0036 · (715) 373-0160 · Fax (715) 373-0162
Fax(715) 373-0162
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateSeptember 11, 2025
NPI 1972714053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 10748
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2257-123 (WI)

Other Identifiers 1

Medicaid39246100WI

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
21 WEST OMAHA STREET
WASHBURN, WI 54891
Social Worker (Clinical)
21 WEST OMAHA STREET, NORTHLAND COUNSELING SERVICES
WASHBURN, WI 54891
Counselor (Professional)
21 WEST OMAHA STREET
WASHBURN, WI 54891

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 Jeremy Koehl's NPI number?

The NPI number for Jeremy Koehl is 1972714053. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Jeremy Koehl located?

Jeremy Koehl practices at 21 West Omaha Street, Washburn, WI 54891. The listed phone number is (715) 373-0160.

What is Jeremy Koehl's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeremy Koehl was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.