JESSICA SULLIVAN (NPI# 1013543834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013543834 |
| Entity Type | Individual |
| Full Name | JESSICA SULLIVAN |
| Credential | LPC-IT |
| Practice Address |
925 Elm Grove Rd Ste 303 Elm Grove WI 53122-2572 |
| Mailing Address |
5721 N 58th St Milwaukee WI 53218-2424 |
| Practice Telephone | 4143759314 |
| Mailing Telephone | 4143759314 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4600-226 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380778 | Jessica Sullivan | Nurse Practitioner | 2024 Willow Pond Way, Grafton, WI 53024-9101 | 2020-03-07 |
| 1114567351 | Jessica Sullivan | Licensed Practical Nurse | 4854 Dragoo Rd, Nashport, OH 43830-9613 | 2020-01-15 |
| 1205321775 | Jessica Marie Sullivan | Behavior Technician | 28 Laurel Rd, Milton, MA 02186-1522 | 2018-06-27 |
| 1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
| 1508265737 | Jessica Page Sullivan | Nurse Practitioner | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2014-08-13 |
| 1700217502 | Jessica Sullivan | Speech-Language Pathologist | 435 S Sunset Dr, El Centro, CA 92243-5553 | 2013-12-03 |
| 1699108944 | Jessica Nicole Sullivan | Occupational Therapist | 210 S County Road 675 W, North Vernon, IN 47265-7536 | 2013-08-09 |
| 1396085304 | Jessica C Sullivan | Social Worker | 360 State Route 17m, Suite 4, Monroe, NY 10950-3443 | 2013-02-28 |
| 1285994160 | Jessica Rea Sullivan | Social Worker | 15 Belcher St, Sharon, MA 02067-1305 | 2012-05-24 |
| 1336448984 | Jessica Marie Sullivan | Counselor | 6497 Parkland Dr Ste 103d, Sarasota, FL 34243-4097 | 2011-03-22 |
| Street Address |
925 ELM GROVE RD STE 303 |
| City | ELM GROVE |
| State | WI |
| Zip Code | 53122-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467713644 | Alicia Fleischmann | Counselor | 925 Elm Grove Rd Ste 303, Elm Grove, WI 53122-2572 | 2012-06-04 |
| 1467015339 | Fleischmann Counseling, LLC | Clinic/Center | 925 Elm Grove Rd Ste 303, Elm Grove, WI 53122-2572 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797687 | Brian Gordon Wisniewski | Hearing Instrument Specialist | 13000 W. Bluemound Road, Elm Grove, WI 53122 | 2020-10-14 |
| 1124279161 | Otto Albrecht Wiegmann | Ophthalmology | 1945 Westmoor Ter, Elm Grove, WI 53122 | 2008-10-08 |
| 1912161266 | Kaaya Medicine | Internal Medicine | 14840 Jueau Blvd, Elm Grove, WI 53122 | 2008-07-16 |
| 1205050903 | Actualized Clinical Services Consulting, Inc. | Psychologist | 820 Brinsmere Drive, Elm Grove, WI 53122 | 2007-04-12 |
| 1487793345 | Lynn Joy Gauger | Social Worker | 740 North Pilgrim Parkway, Suite 206, Elm Grove, WI 53122 | 2007-02-06 |
| 1336218957 | Bette L Frangesch | Nurse Practitioner | 13105 E Watertown Plank Rd, Unite Theresa 2, Elm Grove, WI 53122 | 2006-11-07 |
| 1043398464 | Carol Therese Haughey | Family Medicine | 1050 Legion Drive, Elm Grove, WI 53122 | 2006-11-02 |
| 1700972908 | Christos Counseling | Social Worker | 12970 W. Bluemound Road, #105, Elm Grove, WI 53122 | 2006-10-05 |
| 1932138245 | Tammy M Groszczyk | Counselor | 890 Elm Grove Rd Ste 6, Elm Grove, WI 53122 | 2006-06-30 |
| 1689272437 | James Joseph Brinks | Hearing Instrument Specialist | 13000 W. Bluemound Road, Elm Grove, WI 53122 | 2020-10-14 |
| Find all providers in zip 53122 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043794324 | John Michael Duffey | Counselor | 13000 W Bluemound Rd Ste 300, Elm Grove, WI 53122-2650 | 2018-09-21 |
| 1497005417 | Empath Counseling, LLC | Counselor | 13500 Watertown Plank Rd, Suite 101, Elm Grove, WI 53122-2200 | 2012-09-17 |
| 1407156490 | Gary Frank Skaleski | Counselor | 500 Elm Grove Rd Ste 100, Elm Grove, WI 53122-2546 | 2010-10-25 |
| 1144487844 | Carol Flanary | Counselor | 910 Elm Grove Rd Ste 9, Elm Grove, WI 53122-2531 | 2008-05-20 |
| 1932138245 | Tammy M Groszczyk | Counselor | 890 Elm Grove Rd Ste 6, Elm Grove, WI 53122 | 2006-06-30 |
| 1164030854 | Kendall Kuhary | Counselor | 12970 W Bluemound Rd, Elm Grove, WI 53122-2607 | 2020-07-19 |
| 1902449267 | Jennifer Sumiec | Counselor | 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 | 2019-10-18 |
| 1770143554 | Logan A Hamel | Counselor | 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 | 2019-06-14 |
| 1184103731 | Jaime Kawczynski | Counselor | 12970 W Bluemound Rd, Elm Grove, WI 53122-2607 | 2018-08-13 |
| 1346732740 | Leah E Mcmillian | Counselor | 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 | 2018-05-31 |
| Find all providers in ELM GROVE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.