Jessica Rustler, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6154-125 Issued in WI

Practice address

2607 N Grandview Blvd
Suite 108
Waukesha, WI 53188-1686

Phone

(262) 313-8339

Fax

(262) 910-1653

NPI assigned

Jul 21, 2014

Last updated

Apr 22, 2024By 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

Other names 1

• Jessica Niedermayer Former name

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, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hope for a Better Tomorrow

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waukesha, WI
  • NPI 1376970657
  Medicare reassignment NPD Authorized official
• Breathe Wellness & Prenatal Care LLC

  • Case Management Agency
  • Waukesha, WI
  • NPI 1619739422
  NPD

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1386051472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD STE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881690",
            "telephone_number": "262-313-8339",
            "fax_number": "262-910-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 N GRANDVIEW BLVD",
            "address_2": "SUITE 108",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881686",
            "telephone_number": "262-313-8339",
            "fax_number": "262-910-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTLER",
        "first_name": "JESSICA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "6154-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "NIEDERMAYER",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Jennifer Rusch, APNP
• Kayla Rush
• Angela Ruskiewicz
• Elizabeth A Russo, BSW
• Mackenzie Rusteberg, MS, CCC-SLP
• Carla Ranae Rutherford, RN
• James L Rutherford, M.D.
• Rachel Elaine Rutledge, PA
• Jolynn Kay Ruud, CSW
• John Gerald Rydeski, PT, MOMT

• Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.