Active NPI
Jeana Zutavern
- Counselor
- Milwaukee, WI
National Provider Identifier
1891406864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 135237-121
- Practice address
- 4001 W Capitol Dr
Milwaukee, WI 53216-2530 - Phone
- (414) 455-3879
- NPI assigned
- Dec 9, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 135237-121 | WI | Primary |
Addresses
Primary practice location
4001 W Capitol Dr
Milwaukee, WI 53216-2530
Mailing address
W66N790 Madison Ave
Cedarburg, WI 53012-1152
Phone (414) 721-6883
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
| License | State | Type | Specialty |
|---|---|---|---|
| 135237-121 | WI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1891406864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W66N790 MADISON AVE",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530121152",
"telephone_number": "414-721-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W CAPITOL DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532162530",
"telephone_number": "414-455-3879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUTAVERN",
"first_name": "JEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "135237-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.