Jennifer Anne Corbett-Willing, M.ED , LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3680-125 Issued in WI

Practice address

5407 8TH Ave
Kenosha, WI 53140-3715

Phone

(262) 564-0067

NPI assigned

Dec 19, 2006

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

Other names 1

• Mrs. Jennifer Anne Corbett Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295899029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 SHADY OAK TRL",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063108",
            "telephone_number": "262-886-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 8TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403715",
            "telephone_number": "262-564-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT-WILLING",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.ED , LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3680-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CORBETT",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "M.ED, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Conrardy, PSYD
• Cook Medical Assoc LTD
• Cook Medical Associates, LTD
• Christopher Andrew Cook, D.O.
• Heather Cooper
• Tristan Nastassia Corbitt, RN
• Lauren Cornejo, OTR-L
• Cornerstone Caregiving East LLC
• Miriam E Corona, LPC, CSAC
• Rebekah Costello, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.