Jessica Lynn Shaw, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6502-125 Issued in WI

Practice address

PO Box 741
Muskego, WI 53150-0741

Phone

(262) 221-0369

NPI assigned

Feb 22, 2013

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

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

Locations

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.

• Modern Wellness LLC

  dba Modern Wellness

  • Mental Health Counselor
  • Muskego, WI
  • NPI 1831951300
  NPD Authorized official

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1841530128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531500741",
            "telephone_number": "262-221-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 741",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531500741",
            "telephone_number": "262-221-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6502-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092725",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Joanne Schaefer, PT
• Lisa Jean Schneider, AUD
• Christina A Schulthess, DPT
• Daniel Schumann, DPT, ATC
• Jamie Schweitzer, RN
• Judy Ann Shea, OTR
• Brenden J Shiroda
• Lindsey Michele Simpson, A.P.N.P
• Jennifer Sinnen, D.D.S.
• Susan Skoczynski

• 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 Jan 28, 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.