DR. JEANA L. COUNCIL (PH.D.) – Clinical Psychologist, NPI 1003046210

DR. JEANA L. COUNCIL (PH.D.) is a healthcare provider. based in Stevens point, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 2652-057 (WI). The NPI Number for DR. JEANA L. COUNCIL (PH.D.) is 1003046210

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEANA L. COUNCIL (PH.D.)
NPI
1003046210
Phone
(715) 303-2900
Address
1547 STRONGS AVE
Enumeration Date
22 July 2009
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7153032900
Graduation Year
2003 (23 years ago)
PAC ID
4486999240
Group Practice PAC ID
2264865971
Professional Enrollment ID
I20181224000248
Address ID
WI544813566ST1547XAVEX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:16State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for DR. JEANA L. COUNCIL (PH.D.)

  • 1547, Strongs Avenue, Stevens Point, Portage County, Wisconsin, 54481, United States

    STE D

    STEVENS POINT, WI 544813566

    Phone: (715) 303-2900

    Fax: (715) 303-2928

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181224000248IClinical PsychologistWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54481)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264865971View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
Mental Health CounselorWI
-WI
Clinical PsychologistWI
Mental Health CounselorWI
Clinical PsychologistWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

Can I cross-check DR. JEANA L. COUNCIL (PH.D.) using NPI 1003046210?
NPI 1003046210 belongs to DR. JEANA L. COUNCIL (PH.D.); compare other details if you need extra assurance.
Active or inactive — what applies to DR. JEANA L. COUNCIL (PH.D.)?
You should see DR. JEANA L. COUNCIL (PH.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. JEANA L. COUNCIL (PH.D.)'s focus?
For DR. JEANA L. COUNCIL (PH.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is DR. JEANA L. COUNCIL (PH.D.) registered?
Use Stevens Point, Wisconsin as the headline location for DR. JEANA L. COUNCIL (PH.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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