Active NPI
Jessica Pliszka, M.S., NCC, LPC-IT
- Professional Counselor
- Wauwatosa, WI
National Provider Identifier
1063088045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4969226
- Practice address
- 10425 W North Ave Ste 312
Wauwatosa, WI 53226-2416 - Phone
- (414) 248-0064
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4969226 | WI | Primary |
Addresses
Primary practice location
10425 W North Ave Ste 312
Wauwatosa, WI 53226-2416
Mailing address
S81W17620 Brennan Dr
Muskego, WI 53150-8028
Phone (414) 403-5092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4969226 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1063088045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S81W17620 BRENNAN DR",
"city": "MUSKEGO",
"state": "WI",
"postal_code": "531508028",
"telephone_number": "414-403-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10425 W NORTH AVE STE 312",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262416",
"telephone_number": "414-248-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLISZKA",
"first_name": "JESSICA",
"name_prefix": "Miss",
"credential": "M.S., NCC, LPC-IT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-28",
"certification_date": "2021-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "4969226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.