Jodi Lorene Waddell
NPI 1972272755ActiveIndividual· Counselor, Professional· Mauston, WI
Counselor, Professional with Pine Valley Integrated Services LLC, practicing in Mauston, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1972272755 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 7, 2021 |
| Last updated in NPPES | Jan 23, 2026 |
| Certified by provider | Jan 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 12209-125 | 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 | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Pine Valley Integrated Services LLCMauston, WI · 5 clinicians
Other Counselor, Professional providers in Mauston
- 1457098592
- 1124648613
- 1104422831
- 1790350080
- 1538033741
- 1437797958
- 1194850982
- 1265801641
- 1760297063
- 1780068171
- 1427016955
- 1326456781