Organization Active NPI

Jennifer Newkirk Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Troy, WI
National Provider Identifier
1982246526
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JENNIFER NEWKIRK COUNSELING, LLC
Practice address
2780 Woodview CT
East Troy, WI 53120-1369
Phone
(262) 745-2384
NPI assigned
Oct 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Mrs. Jennifer Anne Newkirk, LPCNPI 1982986956
Title
Licensed Professional Counselor
Phone
(262) 745-2384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2780 Woodview CT
East Troy, WI 53120-1369

Mailing address

2780 Woodview CT
East Troy, WI 53120-1369
Phone (262) 745-2384

Other identifiers 1

IdentifierTypeStateIssuer
1982986956MedicaidWI

Other names 1

  • Elevation Christian Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250318002583 WI Part B Supplier - Clinic/Group Practice 0042732125 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, WI

National Provider Directory

National Provider Directory

Locations

15850 W Bluemound Rd
Ste 202
Brookfield, WI 53005
Phone (262) 200-1282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1982246526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 WOODVIEW CT",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531201369",
            "telephone_number": "262-745-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 WOODVIEW CT",
            "city": "EAST TROY",
            "state": "WI",
            "postal_code": "531201369",
            "telephone_number": "262-745-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER NEWKIRK COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "NEWKIRK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "262-745-2384",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982986956",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elevation Christian Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Troy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.