Individual provider Active NPI

Jade Elizabeth Fowler

  • Professional Counselor
  • Greenfield, WI
National Provider Identifier
1366283566
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12231-125 Issued in WI
Practice address
4811 S 76 Street
#305
Greenfield, WI 53220-4364
Phone
(262) 475-5684
Fax
(414) 325-7753
NPI assigned
Jun 3, 2024
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 12231-125 WI Primary

Addresses

Primary practice location

4811 S 76 Street
#305
Greenfield, WI 53220-4364

Mailing address

12581 Duncan LN Unit 103
New Berlin, WI 53151-8796
Phone (608) 772-9895

Other practice location 1

101 W Evergreen Parkway
1
Elkhorn, WI 53121-4095
Phone (414) 325-7741

Other names 1

  • Jade Elizabeth Meicher Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Wellness LLC CurrentSince Jun 9, 2024 Accepting new patients
Child & Family Therapeutic Systems S.C. CurrentSince Jun 1, 2024 Accepting new patients

Locations

101 W Evergreen Pkwy
Ste 1
Elkhorn, WI 53121
Phone (262) 475-5684

4811 S 76th St
Ste 305
Milwaukee, WI 53220
Phone (414) 325-7741

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1366283566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12581 DUNCAN LN UNIT 103",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531518796",
            "telephone_number": "608-772-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 S 76 STREET",
            "address_2": "#305",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204364",
            "telephone_number": "262-475-5684",
            "fax_number": "414-325-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Evergreen Parkway",
            "address_2": "1",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "WI",
            "postal_code": "531214095",
            "country_code": "US",
            "telephone_number": "414-325-7741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JADE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "12231-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "MEICHER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.