JAMIE DIESTELHORST
NPI 1245704188
Counselor - Professional in Wausau, WI
NPI Status: Active since January 14, 2019
- Individual
- Female
- Years of Experience 8
- Counselor
- Professional
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JAMIE DIESTELHORST
This page provides the complete NPI Profile along with additional information for Jamie Diestelhorst, a provider established in Wausau, Wisconsin with a medical specialization in Counselor, focusing in professional and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1245704188 assigned on January 2019. The practitioner's primary taxonomy code is 101YP2500X with license number 4252-226 (WI). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1245704188
- Provider Name
- JAMIE DIESTELHORST
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 631 FOREST ST WAUSAU, WI 54403
- Location Phone
- (715) 842-0944
- Mailing Address
- 631 FOREST ST WAUSAU, WI 54403
- Medical School Name
- OTHER
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-14-2019
- Last Update Date
- 01-14-2019
- Code Navigator
Location Map
Secondary Locations
- 1509 N 4th St Ste 2
Tomahawk, WI 54487
(800) 236-3792
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4252-226
- License State
- WI
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 4252-226 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- POS HDHP Bronze 6250 - POS
- POS Silver 5000 - POS
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,100 HDHP - HMO
- Premier $5,000 - 40% - HMO
- Premier $6,200 HDHP - HMO
- Premier $7,500 - HMO
- Premier $9,200 - HMO
- Premier Protection - HMO
- Select $1,500 - 25% - EPO
- Select $3,500 - 30% - EPO
- Select $4,100 HDHP - EPO
- Select $5,000 - 40% - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jamie Diestelhorst is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jamie Diestelhorst is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4385186444
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240605001293
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JAMIE DIESTELHORST
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 7 | 0 | 4 | 1 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 0 | 8 | 1 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 0 + 8 + 1 + 1 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1245704188 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811926579 | MR. DANIEL LEE KOHN LCSW, CADC III Individual | Social Worker (Clinical) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1609805399 | MRS. BARBARA MARY WEBSTER MS, LCSW Individual | Social Worker (Clinical) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1659300341 | MS. ERIN ELIZABETH MORGAN MS. LCSW Individual | Social Worker (Clinical) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1376576231 | MR. EDMUND LEE WEBSTER MSW, LCSW Individual | Social Worker (Clinical) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1356374490 | MR. GREG JOEL TURINETTI MS, LMFT Individual | Marriage & Family Therapist | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1912926601 | DR. DEREK JEREMY JOHN PHD Individual | Psychologist (Clinical) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1962676882 | SUZANNE GRIM LMFT Individual | Marriage & Family Therapist | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1700126414 | BETTY A HINDS LPC Individual | Counselor (Professional) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1235579053 | MICHELLE R WEGNER PC Individual | Counselor (Professional) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1649686973 | DAVID TICE MS, LPC Individual | Counselor (Professional) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1679684609 | CENTER FOR HUMAN DEVELOPMENT, INC. Organization | Counselor (Mental Health) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1558731745 | DAWN SCHROEDER MA, PC Individual | Counselor (Professional) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1700121225 | NICHOLAUS P LAFONTE Individual | Counselor (Professional) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1821539859 | MICHELLE HAGEMEISTER Individual | Counselor (Mental Health) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1790279305 | KRISTA KOCHA Individual | Counselor (Professional) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1346889433 | KEELA COPPERSMITH LPC-IT Individual | Counselor (Professional) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1942958442 | MRS. JUDITH RENEE STEVENSON MA, LPC-T Individual | Counselor (Professional) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1396442216 | SAMUEL JOSEPH COTTER APSW Individual | Social Worker | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1528758778 | MIRANDA J REITER Individual | Counselor | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
| 1467214627 | DANIEL KITZHABER Individual | Counselor (Professional) | 631 FOREST ST WAUSAU, WI 54403 (715) 842-0944 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245704188, enumerated in the NPI registry as an "individual" on January 14, 2019
The provider is located at 631 Forest St Wausau, Wi 54403 and the phone number is (715) 842-0944
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider has more than 8 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on January 14, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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