Active NPI
Jessica Clayborn, LPC
- Professional Counselor
- Port Washington, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10470-125
- Practice address
- 1317 W Grand Ave Ste 6
Port Washington, WI 53074-2075 - Phone
- (262) 427-8905
- NPI assigned
- Apr 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 4934226 | WI | |
| Professional Counselor | 101YP2500X | 10470-125 | WI | Primary |
Addresses
Primary practice location
1317 W Grand Ave Ste 6
Port Washington, WI 53074-2075
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
2801 Calumet Dr
Sheboygan, WI 53083-3839
Phone (920) 451-6908
Other practice location 2
11518 N Port Washington Rd Ste 202
Mequon, WI 53092-3443
Phone (262) 999-3495
Other names 1
- Jessica Brownrigg
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11649 N Port Washington Rd
Suite 201
Mequon, WI 53092-3459
Phone (262) 789-1191
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4934226 | WI | MD | Counselor |
| 10470-125 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients | |
| Port Washington Podiatry Inc | Current | Accepting new patients | |
| Nett Work Family Counseling LLC | Current | Accepting new patients | |
| Knueppel Healthcare Services, Inc. | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
11649 N Port Washington Rd
Ste 201
Mequon, WI 53092
Phone 2627891191380
11649 N Port Washington Rd
Ste 221
Mequon, WI 53092
Phone (262) 912-1922
11518 N Port Washington Rd
Ste 202
Mequon, WI 53092
Phone (262) 244-6177
1317 W Grand Ave
Ste 6
Prt Washingtn, WI 53074
Phone (262) 284-8800
1143 Warwick Way
Racine, WI 53406
Phone (262) 321-0110
2801 Calumet Dr
Sheboygan, WI 53083
Phone (920) 451-6908
3321 S 12th St
Sheboygan, WI 53081
Phone (920) 451-6908
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
-
- Adult Mental Health Clinic/Center
- Sheboygan, WI
- NPI 1053406066
-
- Podiatrist
- Port Washington, WI
- NPI 1013953926
-
- Durable Medical Equipment & Medical Supplies
- Racine, WI
- NPI 1699740134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1740869155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 W GRAND AVE STE 6",
"city": "PORT WASHINGTON",
"state": "WI",
"postal_code": "530742075",
"telephone_number": "262-427-8905"
}
],
"practiceLocations": [
{
"address_1": "2801 Calumet Dr",
"address_purpose": "LOCATION",
"city": "Sheboygan",
"state": "WI",
"postal_code": "530833839",
"country_code": "US",
"telephone_number": "920-451-6908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11518 N PORT WASHINGTON RD STE 202",
"address_purpose": "LOCATION",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923443",
"country_code": "US",
"telephone_number": "262-999-3495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLAYBORN",
"first_name": "JESSICA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-04",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "4934226",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10470-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BROWNRIGG",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Port Washington, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.