Safe Harbor Health, LLC - Medicare Mental Health Clinic in Verona, WI

Safe Harbor Health, LLC is a medicare enrolled mental health clinic (Social Worker - Clinical) in Verona, Wisconsin. The current practice location for Safe Harbor Health, LLC is 524 W Verona Ave Ste 105, Verona, Wisconsin. For appointments, you can reach them via phone at (608) 845-2081. The mailing address for Safe Harbor Health, LLC is 524 W Verona Ave Ste 105, Verona, Wisconsin and phone number is (608) 845-2081.

Safe Harbor Health, LLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1861079816. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (608) 845-2081.

Contact Information

Safe Harbor Health, LLC
524 W Verona Ave Ste 105
Verona
WI 53593-1443
(608) 845-2081
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameSafe Harbor Health, LLC
SpecialitySocial Worker
Location524 W Verona Ave Ste 105, Verona, Wisconsin
Authorized Official Name and PositionJaclyn Sue Slesareva (DIRECTOR)
Authorized Official Contact6088452081
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Safe Harbor Health, LLC
524 W Verona Ave Ste 105
Verona
WI 53593-1443

Ph: (608) 845-2081
Safe Harbor Health, LLC
524 W Verona Ave Ste 105
Verona
WI 53593-1443

Ph: (608) 845-2081

NPI Details:

NPI Number1861079816
Provider Enumeration Date03/25/2021
Last Update Date02/05/2026
Certification Date02/05/2026

Medicare PECOS Information:

Medicare PECOS PAC ID1052729159
Medicare Enrollment IDO20210408002010

Medical Identifiers

Medical identifiers for Safe Harbor Health, LLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861079816NPI-NPPES
100093506MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) ()Secondary
1041C0700XSocial Worker - Clinical ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Safe Harbor Health, LLC acts as a billing entity for following providers:
Provider NameJaclyn Sue Slesareva
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336616523
PECOS PAC ID: 2961810064
Enrollment ID: I20210408002071
Provider NameHollie Carlson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750027694
PECOS PAC ID: 8123547411
Enrollment ID: I20250529002763
Provider NameAlycia Marie Mcclure
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326782673
PECOS PAC ID: 2062925548
Enrollment ID: I20250627002888
Provider NameJennifer L Frisque
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477370427
PECOS PAC ID: 5597278929
Enrollment ID: I20250630002315
Provider NameJoelle Lynn Wayer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790393395
PECOS PAC ID: 0042724502
Enrollment ID: I20250708000671
Provider NameAdrienne Lorayne Blow
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1003552845
PECOS PAC ID: 5395241905
Enrollment ID: I20251002002071
Provider NameErica Lindall
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1447820337
PECOS PAC ID: 2062879307
Enrollment ID: I20251027000575

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.