Individual provider Active NPI

Jennifer Anne Newkirk, M.S., L.P.C

  • Professional Counselor
  • Brookfield, WI
National Provider Identifier
1982986956
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4662-125 Issued in WI
Practice address
12690 W North Ave Ste C
Brookfield, WI 53005-4605
Phone
(262) 785-1008
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4662-125 WI
Professional Counselor 101YP2500X 4662-125 WI Primary

Addresses

Primary practice location

12690 W North Ave Ste C
Brookfield, WI 53005-4605

Mailing address

12690 W North Ave Ste C
Brookfield, WI 53005-4605
Phone (262) 785-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318002864 WI Practitioner - Mental Health Counselor 1951823038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15850 W Bluemound Rd
Suite 202
Brookfield, WI 53005-6007
Phone (262) 215-0019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4662-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Newkirk Counseling, LLC CurrentSince Jan 8, 2025 Accepting new patients

Locations

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

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": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1982986956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12690 W NORTH AVE STE C",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054605",
            "telephone_number": "262-785-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12690 W NORTH AVE STE C",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054605",
            "telephone_number": "262-785-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWKIRK",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.P.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4662-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4662-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.