MR. JAY WILLIAM GAETHKE LPC SAC CSW NPI 1346325446

NPI Information

  • NPI: 1346325446
  • Provider Name: MR. JAY WILLIAM GAETHKE, LPC, SAC, CSW
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 ELM GROVE RD
    SUITE 100
    ELM GROVE, WI
    ZIP 53122
  • Phone: (262) 782-2090

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NPI Details

MR. Jay William Gaethke, LPC, SAC, CSW is a professional counselor in Elm Grove, WI with 24 years of experience. MR. Jay William Gaethke, LPC, SAC, CSW NPI is 1346325446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 ELM GROVE RD
SUITE 100
ELM GROVE, WI
ZIP 53122-546
Phone: (262) 782-2090
Fax: (262) 782-2092

The NPI 1346325446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 5/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YP2500XCounselorProfessional3912WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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