Jacqueline Patricia Niccolai, LPC in Kenosha, WI

Jacqueline Patricia Niccolai, LPC is a medicare enrolled "Counselor - Professional" provider in Kenosha, Wisconsin. Her current practice location is 6121 Greenbay Rd, Suite 200, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 694-3718.

Jacqueline Patricia Niccolai is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093475477.

Contact Information

	Jacqueline Patricia Niccolai, LPC
	6121 Greenbay Rd, Suite 200, Kenosha, WI 53142
	(262) 694-3718
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Patricia Niccolai
Gender	Female
Speciality	Counselor - Professional
Location	6121 Greenbay Rd, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093475477
Provider Enumeration Date: 12/27/2021
Last Update Date: 12/30/2024

Medicare PECOS Information:

PECOS PAC ID: 9830627058
Enrollment ID: I20250115001411

Medical Identifiers

Medical identifiers for Jacqueline Patricia Niccolai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093475477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Primary

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. Jacqueline Patricia Niccolai allows following entities to bill medicare on her behalf.

Entity Name	Optum Behavioral Care Of Colorado, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487424826 PECOS PAC ID: 0941648463 Enrollment ID: O20240429000918

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. Jacqueline Patricia Niccolai 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
Jacqueline Patricia Niccolai, LPC 7919 48th Ave, Kenosha, WI 53142-2023 Ph: (602) 565-6662	Jacqueline Patricia Niccolai, LPC 6121 Greenbay Rd, Suite 200, Kenosha, WI 53142 Ph: (262) 694-3718

Reviews and Comments

Counselor in Kenosha, WI

La Shanda Tolefree, BA, MS Counselor Medicare: Accepting Medicare Assignments Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538 Fax: 262-842-0539
Laura Williams, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3536 52nd St, Kenosha, WI 53144 Phone: 262-842-0538
Ann M Grossman, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 23rd Ave, Kenosha, WI 53143 Phone: 414-455-3879 Fax: 866-719-3024
Jami Lynn Pomeroy, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1400 75th St, Kenosha, WI 53143 Phone: 262-909-6008
Madeline Marie Beth, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4600 Green Bay Rd, Kenosha, WI 53144 Phone: 708-738-6077
Aislynn Nall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6121 Green Bay Rd Ste 200, Kenosha, WI 53142 Phone: 262-864-1141 Fax: 262-351-0132
Monica Christian, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4103 60th St, Kenosha, WI 53144 Phone: 262-452-3684 Fax: 262-330-1475

Jacqueline Patricia Niccolai, LPC - Medicare Counselor in Kenosha, WI