Jessica Dawn Marie Corey, LPC
Individual provider Active NPI Professional Counselor · Pewaukee, WI
NPI 1114285202 · NPPES record last updated Apr 26, 2012
Key facts
- NPI
- 1114285202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 4720-125 (WI)
- Practice address
- 161 W Wisconsin Ave
Pewaukee, WI 53072-3467 - Phone
- (262) 695-8857
- Fax
- (262) 695-8879
- NPI assigned
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cornerstone Counseling Services Inc
Practice addresses (Care Compare)
4811 S 76TH St
Suite 208
Greenfield, WI 53220-4352
Phone (262) 789-1191
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240126001776 | WI | Practitioner - Mental Health Counselor | 6204289176 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current |
Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
4811 S 76th St
Ste 208
Milwaukee, WI 53220
Phone (414) 361-1400
1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4720-125 | WI | Yes |
Addresses
Primary practice location
161 W Wisconsin Ave
Pewaukee, WI 53072-3467
Mailing address
2117 E Tripoli Ave
Saint Francis, WI 53235-4146
Phone (262) 695-8857
Other providers in Pewaukee, WI
- Christensen Eyecare Professionals
- Hubert A Cios
- Kelsey Lynne Cobler
- Sheryl Lynn Conrad
- Jeffrey Miles Coppage
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Costco Wholesale Corporation
- Judith Marie Crabb
- Cubic Life Integrative Care S.C.
All providers in Pewaukee, WI · Professional Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.