JENNIFER VANN (PSYD) – Professional Counselor, NPI 1922451285

JENNIFER VANN (PSYD) is a healthcare provider. based in Waukesha, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 3658-57 (WI). The NPI Number for JENNIFER VANN (PSYD) is 1922451285

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER VANN (PSYD)
NPI
1922451285
Phone
(262) 259-4100
Address
2428 N GRANDVIEW BLVD STE 101
Enumeration Date
21 July 2016
Last Update Date
21 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2622594100
Graduation Year
2019 (7 years ago)
PAC ID
5294077194
Group Practice PAC ID
4789052820
Professional Enrollment ID
I20190424002405
Address ID
WI531886906WA2428XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for JENNIFER VANN (PSYD)

  • 2428 N GRANDVIEW BLVD STE 101

    WAUKESHA, WI 531886906

    Phone: (262) 259-4100

    Fax: (262) 290-5756

    Type: Mailing

  • Habanero's Mexican Kitchen, 3900, West Brown Deer Road, Brown Deer, Milwaukee County, Wisconsin, 53209, United States

    SUITE 200

    BROWN DEER, WI 532091220

    Phone: (414) 540-2170

    Fax: (414) 540-2171

    Type: Mailing

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: 2019-04-24

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
I20190424002405IClinical 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 53188)

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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: 4789052820View full group profile
NameSpecialtyState
Marriage And Family TherapistWI
Clinical PsychologistWI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical PsychologistWI

Reviews

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Frequently asked questions

Is there an official ID for JENNIFER VANN (PSYD) in U.S. healthcare records?
The official identifier for JENNIFER VANN (PSYD) is NPI 1922451285.
Active or inactive — what applies to JENNIFER VANN (PSYD)?
You should see JENNIFER VANN (PSYD) as active in CMS-hosted NPPES data.
How would a patient describe JENNIFER VANN (PSYD)'s focus?
For JENNIFER VANN (PSYD), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is JENNIFER VANN (PSYD) located near Waukesha?
JENNIFER VANN (PSYD) currently maps to Waukesha, Wisconsin in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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