Jennifer H Klosiewski, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

8213-125 Issued in WI

Practice address

4855 S Moorland Rd Ste 150
New Berlin, WI 53151-7495

Phone

(414) 425-5660

Fax

(414) 425-9803

NPI assigned

Sep 5, 2018

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Children's Medical Group

  dba MBH Telehealth

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukee, WI
  • NPI 1205068616

  Professional

  NPD (past)
• Children's Medical Group

  dba Forest View Pediatrics

  • Pediatrics Physician
  • New Berlin, WI
  • NPI 1427223767
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1730661877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 S MOORLAND RD STE 150",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517495",
            "telephone_number": "414-425-5660",
            "fax_number": "414-425-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 S MOORLAND RD STE 150",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531517495",
            "telephone_number": "414-425-5660",
            "fax_number": "414-425-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSIEWSKI",
        "first_name": "JENNIFER",
        "middle_name": "H",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "8213-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100102716",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Malina Kinney, PT
• Susan Schober Kinosian, P.T.
• Annette T. Kirkish-Mayer, OTR
• Jaclyn Kitzinger, NP
• Mary Ann Klingbeil, RN
• Danielle Lynn Kluz-Lucio, LAC, MSOM
• Renee M. Knapp, D.O.
• Kelsey Koenig
• Jeffrey D Konrad, PT
• Werner Kordas, MD

• Professional Counselor in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.