Individual provider Active NPI

Jane Gabrielson

  • Professional Counselor
  • Brookfield, WI
National Provider Identifier
1104368570
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3327-226 Issued in WI
Practice address
3505 N 124TH St
Brookfield, WI 53005-2489
Phone
(414) 431-4444
Fax
(414) 431-0858
NPI assigned
Nov 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3327-226 WI Primary

Addresses

Primary practice location

3505 N 124TH St
Brookfield, WI 53005-2489

Mailing address

W188N8955 Maple Rd
Menomonee Falls, WI 53051-1807
Phone (414) 431-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3327-226WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Options Counseling, LLC Professional PastSince Oct 9, 2022 Accepting new patients
Family Options Counseling Professional PastSince Oct 9, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1104368570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W188N8955 MAPLE RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530511807",
            "telephone_number": "414-431-4444",
            "fax_number": "414-431-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052489",
            "telephone_number": "414-431-4444",
            "fax_number": "414-431-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELSON",
        "first_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3327-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.