Active NPI
Jill T Butterfield, M.S. ATRL-BC
- Mental Health Counselor
- Pewaukee, WI
National Provider Identifier
1982638847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 68-036
- Practice address
- 161 W Wisconsin Ave Ste 2B
Pewaukee, WI 53072-3468 - Phone
- (262) 695-8857
- Fax
- (262) 695-8879
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 68-036 | WI | Primary |
Addresses
Primary practice location
161 W Wisconsin Ave Ste 2B
Pewaukee, WI 53072-3468
Mailing address
1271 Chippewa Dr
Hartford, WI 53027-2577
Phone (262) 695-8857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40969200 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68-036 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakefront Wellness Center, SC | Mental Health | Past | 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": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982638847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1271 CHIPPEWA DR",
"city": "HARTFORD",
"state": "WI",
"postal_code": "530272577",
"telephone_number": "262-695-8857",
"fax_number": "262-695-8879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 W WISCONSIN AVE STE 2B",
"city": "PEWAUKEE",
"state": "WI",
"postal_code": "530723468",
"telephone_number": "262-695-8857",
"fax_number": "262-695-8879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTERFIELD",
"first_name": "JILL",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "M.S. ATRL-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "68-036",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40969200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pewaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.