Individual provider Active NPI

Jenna Lynn Behrens, MA, LPC

  • Counselor
  • Wauwatosa, WI
National Provider Identifier
1518173772
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
7332 W State St Lower Level
Wauwatosa, WI 53213-2766
Phone
(262) 689-0688
Fax
(262) 252-4874
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

7332 W State St Lower Level
Wauwatosa, WI 53213-2766

Mailing address

215 W Maple St
# 303
Milwaukee, WI 53204-4047
Phone (262) 689-0688

Other identifiers 1

IdentifierTypeStateIssuer
43733400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 31, 2024 through Oct 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1518173772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MAPLE ST",
            "address_2": "# 303",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532044047",
            "telephone_number": "262-689-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7332 W STATE ST LOWER LEVEL",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132766",
            "telephone_number": "262-689-0688",
            "fax_number": "262-252-4874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHRENS",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43733400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.