Bethany N Jark, LPC in De Pere, WI - Medicare Mental Health Counselor Provider

Bethany N Jark, LPC is a medicare enrolled "Counselor - Professional" provider in De Pere, Wisconsin. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Charis Counseling Llc, Behavioral Health Clinic Llc and her current practice location is 400 Reid St Ste N, De Pere, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 842-9500.

Bethany N Jark is licensed to practice in Wisconsin (license number 8642-125) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861052078.

Contact Information

	Bethany N Jark, LPC
	400 Reid St Ste N, De Pere, WI 54115-2164
	(715) 842-9500
	(715) 848-0425

Map and Direction

Healthcare Provider's Profile

Full Name	Bethany N Jark
Gender	Female
Speciality	Mental Health Counselor
Experience	7 Years
Location	400 Reid St Ste N, De Pere, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bethany N Jark graduated from medical school in 2019

NPI Data:

NPI Number: 1861052078
Provider Enumeration Date: 06/19/2019
Last Update Date: 07/07/2026

Medicare PECOS Information:

PECOS PAC ID: 3971951450
Enrollment ID: I20240112002507

Medical Identifiers

Medical identifiers for Bethany N Jark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861052078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	8642-125 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charis Counseling Llc	1456244276	12
Behavioral Health Clinic Llc	8628409885	41

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bethany N Jark allows following entities to bill medicare on her behalf.

Entity Name	Charis Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427144054 PECOS PAC ID: 1456244276 Enrollment ID: O20040205000584

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethany N Jark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bethany N Jark, LPC 400 Reid St Ste N, De Pere, WI 54115-2164 Ph: (715) 842-9500	Bethany N Jark, LPC 400 Reid St Ste N, De Pere, WI 54115-2164 Ph: (715) 842-9500

Reviews and Comments

Counselor in De Pere, WI

Craig Linzmeier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1511 W Main Ave, Suite 100, De Pere, WI 54115 Phone: 920-403-7600 Fax: 920-403-7360
Cassandra Vanstraten, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Mrs. Carole M St.laurent-groves, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270
Andrew Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 416 George St Ste B12, De Pere, WI 54115 Phone: 920-340-0939
Danielle Casper, LMFT, CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Marie D. Ibarra Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700
Mr. Dan J Braaten, LMFT, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700

Bethany N Jark, LPC - Medicare Counselor in De Pere, WI