Jessika Ellen Eiden, LPC
NPI 1417688771ActiveIndividual· Counselor· Waukesha, WI
Counselor (LPC) in Waukesha, Wisconsin, licensed in WI, with an NPI issued in June 2022. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1417688771 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Jun 17, 2022 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X | 11743-125 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Other Counselor providers in Waukesha
- 1225994783
- 1770410839
- 1922963164
- 1427994862
- 1841550936
- 1598698599
- 1265868095
- 1336908797
- 1265878201
- 1962814780
- 1821688979
- 1184536906