Jessica Joan Suhr, LSCW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

343-123 Issued in WI

Practice address

16535 W Bluemound Rd Ste 200
Brookfield, WI 53005-5906

Phone

(262) 789-1191

Fax

(262) 821-6180

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: lifestancehealth.jessicasuhr@149809.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Greenfield, WI
  • NPI 1326154378
  NPD (past)
• Trillium Care Group LLC

  • Psychologist
  • Elm Grove, WI
  • NPI 1477629640

  Clinical

  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477513588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4044 S 76TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532202323",
            "telephone_number": "414-791-6961",
            "fax_number": "262-821-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16535 W BLUEMOUND RD STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055906",
            "telephone_number": "262-789-1191",
            "fax_number": "262-821-6180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4811 S 76th St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532204364",
            "country_code": "US",
            "telephone_number": "262-789-1191 x364",
            "fax_number": "414-817-0442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUHR",
        "first_name": "JESSICA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "LSCW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "343-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42170300",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39557900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN WPS WISCONSIN - GREENFIELD OFFICE",
            "identifier": "012920001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Ann Stults, PT, DPT
• Phillip Stutzman, BCBA
• Suburban Counseling Services LLC
• Christy Marie Suchomski, OTR/L
• Gina Suckow
• Summit Clinical Laboratories LLC
• Tasha Sunita, PTA
• Ericka Joanna Surowaniec, LPC, CSAC, ICS
• Kelli R Susek, MS CCC SLP
• Sunaina Suwal

• All providers in Brookfield, WI
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.