Jesen Daniel
NPI 1508230632ActiveIndividual· Counselor, Professional· West Bend, WI
Counselor, Professional with Affiliated Clinical Services Inc, practicing in West Bend, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1508230632 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 1, 2015 |
| Last updated in NPPES | Dec 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 5809 125 | WI |
| Counselor | 101Y00000X | 5809 125 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 5809 125 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 2012 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Affiliated Clinical Services IncWest Bend, WI · 23 clinicians
Other professional counselors in West Bend
- 1023510229
- 1144725615
- 1205267994
- 1427834654
- 1609355452
- 1669188405
- 1053751636
- 1063779700
- 1073125035
- 1073866059
- 1093046823
- 1144526260
All 63 professional counselors in West Bend · All professional counselors in Wisconsin