Active NPI
Jenna Lynn Behrens, MA, LPC
- Counselor
- Wauwatosa, WI
National Provider Identifier
1518173772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43733400 | Medicaid | WI |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.