Jenna Overbaugh, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6334-125 Issued in WI

Practice address

741 N Grand Ave Ste 302
Waukesha, WI 53186-4841

Phone

(262) 789-1191

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1679171466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 HAPPY HOLLOW LN",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530665701",
            "telephone_number": "724-674-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N GRAND AVE STE 302",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864841",
            "telephone_number": "262-789-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBAUGH",
        "first_name": "JENNA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6334-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeta L Osian, M.D.
• Julia A. Ostendorf, MD
• Debra Lynn Otten, APRN BC FAMILY NURSE
• Jodi Ann Otto, M.S.
• Shelby Lynn Otto, OT
• Rebecca Ruth Owens
• Brian Owings, PA-C
• Oxygen One, Inc. (AeroCare)
• Attivo Antonio Padilla
• Jessica Margaret Pagel

• Mental Health Counselor in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.