Individual provider Active NPI

Jill V McNutt, LPC

  • Mental Health Counselor
  • Brown Deer, WI
National Provider Identifier
1871807685
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3943-125 Issued in WI
Practice address
7646 N Teutonia Ave
Brown Deer, WI 53209-1736
Phone
(414) 797-2155
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3943-125 WI
Professional Counselor 101YP2500X 3943-125 WI
Mental Health Counselor 101YM0800X 3943-125 WI Primary

Addresses

Primary practice location

7646 N Teutonia Ave
Brown Deer, WI 53209-1736

Mailing address

7651 N Teutonia Ave
Brown Deer, WI 53209-1735
Phone (414) 213-3979

Other practice location 1

1401 N Martin Luther King Dr
Milwaukee, WI 53212-3909
Phone (414) 213-3979

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ArtTherapyHouse.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3943-125WIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Art Therapy House, Inc. PastSince Jan 12, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1871807685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7651 N TEUTONIA AVE",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091735",
            "telephone_number": "414-213-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7646 N TEUTONIA AVE",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091736",
            "telephone_number": "414-797-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Martin Luther King Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532123909",
            "country_code": "US",
            "telephone_number": "414-213-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNUTT",
        "first_name": "JILL",
        "middle_name": "V",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "3943-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3943-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3943-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ArtTherapyHouse.org",
            "affiliation": "N",
            "endpointDescription": "Art Therapy and Counseling Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "BROWN DEER",
            "address_1": "7646 N Teutonia Ave",
            "city": "Brown Deer",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532091736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brown Deer, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.