{"npi":"1457421000","type":"NPI-1","status":"active","name":{"display":"Jane Faacks Lpc","other":[{"code":"1","type":"Formerly known as","value":"HELSTROM, JANE ANNE"}],"first":"JANE","last":"FAACKS","middle":"A","credential":"LPC"},"specialty":{"primary_taxonomy":"101YM0800X","primary_taxonomy_description":"Mental Health Counselor","slug":"mental-health-counselor","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":true,"state":"WI","license":"2619-125"}]},"addresses":[{"purpose":"LOCATION","street_1":"2925 MONDOVI RD","city":"EAU CLAIRE","state":"WI","postal_code":"547016141","country_code":"US","phone":"7158320238","fax":"7158320771"},{"purpose":"MAILING","street_1":"2925 MONDOVI RD","city":"EAU CLAIRE","state":"WI","postal_code":"547016141","country_code":"US","phone":"7158320238","fax":"7158320771"}],"license":{"state":"WI","number":"2619-125"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"40971600","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240618003061","type_code":"14-E2","type_desc":"PRACTITIONER - MENTAL HEALTH COUNSELOR","state":"WI","pac_id":"7012374614"}]},"enumeration_date":"2006-11-09","last_updated":"2024-07-10","_meta":{"source":"NPPES","snapshot_date":"2024-07-10","doc_url":"https://findmynpi.com/api"}}