| Ms Jean A Daute, MS LPC CSAC ICS MAC | |
|
135 W Main St, Suite 207, Stoughton, WI 53589-2100 | |
| (608) 873-7838 | |
| (877) 674-2177 |
| Full Name | Ms Jean A Daute |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 28 Years |
| Location | 135 W Main St, Stoughton, 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 |
|---|---|---|---|
| 1184690679 | NPI | - | NPPES |
| 39335400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1453 (Wisconsin) | Primary |
| 101YP2500X | Counselor - Professional | 3118-125 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oceanhawk Counseling Alternatives Llc | 7810098886 | 2 |
| Entity Name | Oceanhawk Counseling Alternatives Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245341205 PECOS PAC ID: 7810098886 Enrollment ID: O20070720000112 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jean A Daute, MS LPC CSAC ICS MAC 135 W Main St, Suite 207, Stoughton, WI 53589-2100 Ph: (608) 873-7838 | Ms Jean A Daute, MS LPC CSAC ICS MAC 135 W Main St, Suite 207, Stoughton, WI 53589-2100 Ph: (608) 873-7838 |
Krystal Lee Webb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589 Phone: 920-723-3994 | |
Jennifer Betters-bubon, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 E Prospect St, Stoughton, WI 53589 Phone: 608-347-1367 | |
Carmen Sperle, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 3436 County Road A, Stoughton, WI 53589 Phone: 608-215-2018 | |
Veronica M Ellingworth, MS, LPC, SAC, ICS Counselor Medicare: May Accept Medicare Assignments Practice Location: 100 Business Park Cir Ste 202, Stoughton, WI 53589 Phone: 608-695-0960 | |
Gabrielle Elise Montana, LPC, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3185 Deer Point Dr Ste A, Stoughton, WI 53589 Phone: 608-873-7838 | |
Jeani M Oppeneer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 N Madison St, Stoughton, WI 53589 Phone: 608-235-9625 |