Individual provider Active NPI

Jennifer A Nyman, LPC

  • Mental Health Counselor
  • Brookfield, WI
National Provider Identifier
1578160974
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10013-125 Issued in WI
Practice address
15460 W Capitol Dr Ste 210
Brookfield, WI 53005-2632
Phone
(262) 748-0525
NPI assigned
Oct 8, 2020
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10013-125 WI Primary

Addresses

Primary practice location

15460 W Capitol Dr Ste 210
Brookfield, WI 53005-2632

Mailing address

15460 W Capitol Dr Ste 210
Brookfield, WI 53005-2632
Phone (262) 748-0525

Other practice location 1

2408 N 89th St
Wauwatosa, WI 53226-1804
Phone (262) 748-0525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260617001640 WI Practitioner - Mental Health Counselor 6901378314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 W Glen Oaks LN
Suite 105
Mequon, WI 53092-3369

15460 W Capitol Dr
Suite 210
Brookfield, WI 53005-2632

W223N4515 Boxleaf LN
Pewaukee, WI 53072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10013-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Glass Houses Therapy, LLC Mental Health Current Accepting new patients

Locations

15460 W Capitol Dr
Ste 210
Brookfield, WI 53005
Phone (262) 748-0525

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1578160974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15460 W CAPITOL DR STE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052632",
            "telephone_number": "262-748-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15460 W CAPITOL DR STE 210",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052632",
            "telephone_number": "262-748-0525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 N 89th St",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532261804",
            "country_code": "US",
            "telephone_number": "262-748-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NYMAN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10013-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.