Individual provider Active NPI

Taylor Schumitsch-Jewell

  • Professional Counselor
  • Franklin, WI
National Provider Identifier
1508539602
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7859-125 Issued in WI
Practice address
7322 W Rawson Ave
Franklin, WI 53132-8117
Phone
(414) 266-3339
Fax
(414) 433-9007
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X WI
Professional Counselor 101YP2500X 7859-125 WI Primary

Addresses

Primary practice location

7322 W Rawson Ave
Franklin, WI 53132-8117

Mailing address

2069 N Cambridge Ave Apt 219
Milwaukee, WI 53202-1046
Phone (414) 721-6726

Other identifiers 1

IdentifierTypeStateIssuer
1508539602MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Franklin

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

State licenses

LicenseStateTypeSpecialty
7859-125WIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1508539602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 N CAMBRIDGE AVE APT 219",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021046",
            "telephone_number": "414-721-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 W RAWSON AVE",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328117",
            "telephone_number": "414-266-3339",
            "fax_number": "414-433-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMITSCH-JEWELL",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7859-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508539602",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Franklin",
            "affiliation": "N",
            "address_1": "7322 W Rawson Ave",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.