Jesse Robert Jastram, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2266 N Prospect Ave Ste 304
Milwaukee, WI 53202-6306

Phone

(414) 379-8984

NPI assigned

Mar 28, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1457713570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N57W517 HILBERT AVE",
            "address_2": "#10",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N PROSPECT AVE STE 304",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026306",
            "telephone_number": "414-379-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTRAM",
        "first_name": "JESSE",
        "middle_name": "ROBERT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2021-04-12",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayne Elizabeth Jaskolski, MS, CCC-SLP
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• Jamie Jasti, MD
• Christine M Jauch, OTR
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• Noelle E Jauregui, APNP
• Ariyan Javadi, MD

• Professional Counselor in Milwaukee, WI
• Providers in Milwaukee, 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 12, 2021; 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.