JESEN DANIEL NPI 1508230632

NPI Information

  • NPI: 1508230632
  • Provider Name: JESEN DANIEL
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 111 EAST WASHINGTON ST
    AFFILIATED CLINICAL SERVICES
    WEST BEND, WI
    ZIP 53095
  • Phone: (262) 338-2717

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NPI Details

Jesen Daniel is a professional counselor in West Bend, WI with 14 years of experience. Jesen Daniel NPI is 1508230632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 EAST WASHINGTON ST
AFFILIATED CLINICAL SERVICES
WEST BEND, WI
ZIP 53095
Phone: (262) 338-2717
Fax: (262) 338-9767

The NPI 1508230632 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 12/1/2015 and was last updated on 12/1/2015.

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
1101Y00000XCounselor5809 125WISCONSINNo
2101YA0400XCounselorAddiction (Substance Use Disorder)5809 125WISCONSINNo
3101YP2500XCounselorProfessional5809 125WISCONSINYes

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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