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

Jeremy Vern Woodliff, LPC

Individual provider Mental Health Counselor · NPI 1316616592

Jeremy Vern Woodliff, LPC is a Mental Health Counselor in Wautoma, Wisconsin. Qualified in 2016, 10 years ago. Practices with Opportunity Development Centers Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

230 Park St
Wautoma, WI 54982-9031
Phone: (920) 787-6550
Fax: (920) 787-0421
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8752-125 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4018-226 (WI)

Record details

NPI number1316616592
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Opportunity Development Centers Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wautoma