Jennifer G Obrien, LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

JENNIFER G OBRIEN, LPC, LLC

Practice address

8989 N Port Washington Rd Ste 211
Bayside, WI 53217-1633

Phone

(414) 207-4633

NPI assigned

Apr 4, 2025

Last updated

Apr 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Grimes Obrien, LPCNPI 1194774893

Title

Owner

Phone

(414) 239-0363

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Grimes O'Brien, M.ED., L.P.C.

  • Mental Health Counselor
  • Mequon, WI
  • NPI 1194774893
  NPD Authorized official

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1619761897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 N LONGACRE RD",
            "city": "FOX POINT",
            "state": "WI",
            "postal_code": "532173504",
            "telephone_number": "414-239-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 N PORT WASHINGTON RD STE 211",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171633",
            "telephone_number": "414-207-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER G OBRIEN, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "GRIMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-239-0363",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaronanda Holloway
• Chelsea Jo Huiras, RN
• Stephanie Jackson
• Apichai Jarenwattananon, M.D.
• Molly Jelak, LPC
• Juile Johnson, MD
• Deborah Jordan
• Mitchel M. S. Kim, M.D.
• Jennifer Kryscio, SLP
• Kurth Chiropractic S.C.

• Professional Counselor in Bayside, WI
• Providers in Bayside, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.