| Jill Bley Klink, LPC | |
|
1640 E Sumner St, Hartford, WI 53027-2684 | |
| (262) 670-4069 | |
| Not Available |
| Full Name | Jill Bley Klink |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 32 Years |
| Location | 1640 E Sumner St, Hartford, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891832283 | NPI | - | NPPES |
| 39789600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2788-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Bley Klink, LPC 224 Birch Ln, Hartford, WI 53027-1717 Ph: (262) 673-7034 | Jill Bley Klink, LPC 1640 E Sumner St, Hartford, WI 53027-2684 Ph: (262) 670-4069 |
Mrs. Jean M Meidenbauer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 635 Mueller St, Hartford, WI 53027 Phone: 262-224-7006 Fax: 262-397-8023 | |
Mrs. Jennifer Everts, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Pleasant Ave, Hartford, WI 53027 Phone: 262-457-1121 | |
Jamie Lynn Velvikis, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 W Sumner St, Hartford, WI 53027 Phone: 262-323-1055 Fax: 262-323-1055 | |
Mrs. Jessica Mckee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 W Rogers St, Hartford, WI 53027 Phone: 262-623-2747 | |
Samantha B Kesting, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 112 Peace Lutheran Pkwy, Hartford, WI 53027 Phone: 800-438-1772 Fax: 262-293-9737 | |
Mr. Gary Robert Probst, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 W Sumner St, Hartford, WI 53027 Phone: 262-244-0729 Fax: 866-238-3845 |