Jessica Dawn Marie Corey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4720-125 Issued in WI

Practice address

161 W Wisconsin Ave
Pewaukee, WI 53072-3467

Phone

(262) 695-8857

Fax

(262) 695-8879

NPI assigned

Apr 26, 2012

Last updated

Apr 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Cornerstone Counseling Services, Inc

  dba LifeStance Health

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1114285202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 E TRIPOLI AVE",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532354146",
            "telephone_number": "262-695-8857",
            "fax_number": "262-695-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W WISCONSIN AVE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723467",
            "telephone_number": "262-695-8857",
            "fax_number": "262-695-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "JESSICA DAWN",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4720-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christensen Eyecare Professionals
• Hubert A Cios, M.D.
• Kelsey Lynne Cobler
• Sheryl Lynn Conrad
• Jeffrey Miles Coppage, M.D.
• Costco Wholesale Corporation (Costco Pharmacy #1101)
• Costco Wholesale Corporation (Costco Hearing Aid #1101)
• Costco Wholesale Corporation (Costco Optical #1101)
• Judith Marie Crabb, NCC, LPC
• Cubic Life Integrative Care S.C.

• Professional Counselor in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.