Modern Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MODERN WELLNESS

Doing business as

Modern Wellness

Practice address

W180S8264 Pioneer Dr
Muskego, WI 53150-9457

Phone

(262) 221-0369

NPI assigned

Jan 29, 2024

Last updated

Oct 5, 2026By 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

Jessica Shaw, LPCNPI 1841530128

Title

LPC

Phone

(262) 221-0369

Specialties & licenses 1

Addresses

Other names 1

• Modern Wellness Doing business as

Locations

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.

• Jessica Lynn Shaw, LPC

  • Mental Health Counselor
  • Muskego, WI
  • NPI 1841530128
  NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1831951300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W180S8264 PIONEER DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509457",
            "telephone_number": "262-221-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W180S8264 PIONEER DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531509457",
            "telephone_number": "262-221-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "262-221-0369",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carly Mikkila, LPC-IT
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• Muskego Nursing Home Inc. (DBA Muskego Health Care Center)
• Muskego-Norway School District
• Neuroquest LLC

• Mental Health Counselor in Muskego, WI
• Providers in Muskego, 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 5, 2026; 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.