Jacob's Well Counseling Center Inc
NPI 1609558485ActiveOrganization· Counselor, Professional· Green Bay, WI
Counselor, Professional in Green Bay, Wisconsin, registered in NPPES in August 2023. The authorized official on file is Grace Ghost, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609558485 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 2, 2023 |
| Last updated in NPPES | Apr 22, 2025 |
| Certified by provider | Apr 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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