Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Basten

Individual provider Mental Health Counselor · NPI 1962967315

Jack Basten is a Mental Health Counselor in Platteville, Wisconsin. Qualified in 2019, 7 years ago. Practices with Platteville Family Resource Center Inc, a 7-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

1155 N Elm St Ste 120
Platteville, WI 53818-1207
Phone: (608) 348-4060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1962967315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2019
Last updated in NPPESFebruary 8, 2019
Mailing address1155 N Elm St Ste 120, Platteville, WI 53818-1207

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Platteville Family Resource Center Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Platteville