MEDICARE: JESSICA LYNN BECKETT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	3590-125	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255540027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LYNN BECKETT LPC

Provider Business Mailing Address
First Line	:	555 OAKRIDGE DR
Second Line	:
City	:	PORTAGE
State	:	WI
Zip	:	53901-1219
Country	:	US
Telephone Number	:	608-617-5400
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 DEWITT ST
Second Line	:
City	:	PORTAGE
State	:	WI
Zip	:	53901-2155
Country	:	US
Telephone Number	:	608-617-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	11/12/2012

Similar Medicare Providers

1073506119 — KATHLEEN L LUDWIKOWSKI
Practice Location Address:

317 DEWITT ST
PORTAGE, WI
53901-2155

Practice Phone: 608-297-9680
Practice Fax: 608-745-1757

1831419324 — TRANSITIONS BEHAVIORAL HEALTH, LLC
Practice Location Address:

317 DEWITT ST
PORTAGE, WI
53901-2155

Practice Phone: 608-617-5400
Practice Fax:

1770921017 — ERIN SHAWNNA GRIMM MFT
Practice Location Address:

317 DEWITT ST
PORTAGE, WI
53901-2155

Practice Phone: 608-745-1751
Practice Fax: 608-745-1757

1760023345 — SAMANTHA M WILLIAMS CCC-SLP
Practice Location Address:

626 E SLIFER ST
PORTAGE, WI
53901-1224

Practice Phone: 608-742-8811
Practice Fax:

1669472858 — JAMES J FOSKETT MD
Practice Location Address:

2817 NEW PINERY RD. , DIVINE SAVIOR HEATHCARE, INC.
PORTAGE, WI
53901-0387

Practice Phone: 608-745-5176
Practice Fax: 608-745-0451

1477548949 — DR. PAUL B YOUNG M.D.
Practice Location Address:

2825 HUNTERS TRL
PORTAGE, WI
53901-3429

Practice Phone: 608-742-7161
Practice Fax: 608-745-3990

Directions to “ JESSICA LYNN BECKETT LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.