JEREMY DEMOS (LPC, CSAC, ICS, NCC) – Mental Health Counselor, NPI 1689320491

JEREMY DEMOS (LPC, CSAC, ICS, NCC) is a healthcare provider. based in Watertown, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, CSAC, ICS, NCC. They hold a License No. 16555 (WI). The NPI Number for JEREMY DEMOS (LPC, CSAC, ICS, NCC) is 1689320491

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY DEMOS (LPC, CSAC, ICS, NCC)
NPI
1689320491
Phone
(920) 342-1280
Address
1501 Country Club Ln
Enumeration Date
2 March 2022
Last Update Date
2 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3864870800
Graduation Year
2018 (8 years ago)
PAC ID
4880124288
Group Practice PAC ID
7517977812
Professional Enrollment ID
I20250214001633
Address ID
FL320250440LA439XXSTXX400

Contacts

Secure Messaging
jeremyjdemos@outlook.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:4State licenses:3Other namesUpdated within 12 months

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for JEREMY DEMOS (LPC, CSAC, ICS, NCC)

  • 1501 Country Club Ln

    Watertown, WI 530984349

    Phone: (920) 342-1280

    Type: Location

  • 1501 COUNTRY CLUB LN

    WATERTOWN, WI 530984349

    Phone: (920) 342-1280

    Type: Location

  • 2955 SE 3RD CT

    OCALA, FL 344710441

    Phone: (352) 374-5600

    Type: Location

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: 2025-02-14

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
I20250214001633IMental Health CounselorFLTBD

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 53098)

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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: 7517977812View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Mental Health CounselorFL
-FL
Mental Health CounselorFL
-FL
Nurse PractitionerFL
P S Y C H I A T R YFL
-FL
Addiction MedicineFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do I look up JEREMY DEMOS (LPC, CSAC, ICS, NCC) by NPI?
Use NPI 1689320491 when you need to reference JEREMY DEMOS (LPC, CSAC, ICS, NCC) in forms, claims, or directories.
Does this profile mean JEREMY DEMOS (LPC, CSAC, ICS, NCC) is currently active?
Yes — JEREMY DEMOS (LPC, CSAC, ICS, NCC) appears active in the national provider directory.
Can you summarize JEREMY DEMOS (LPC, CSAC, ICS, NCC)'s specialty in plain language?
Clinically, the directory lists JEREMY DEMOS (LPC, CSAC, ICS, NCC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place JEREMY DEMOS (LPC, CSAC, ICS, NCC)?
The snapshot lists Watertown, Wisconsin for JEREMY DEMOS (LPC, CSAC, ICS, NCC); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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