JESSICA DAWN MARIE COREY (NPI# 1114285202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114285202 |
| Entity Type | Individual |
| Full Name | JESSICA DAWN MARIE COREY |
| Credential | LPC |
| Practice Address |
161 W Wisconsin Ave Pewaukee WI 53072-3467 |
| Mailing Address |
2117 E Tripoli Ave Saint Francis WI 53235-4146 |
| Practice Telephone | 2626958857 |
| Practice Fax Number | 2626958879 |
| Mailing Telephone | 2626958857 |
| Mailing Fax Number | 2626958879 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4720-125 | WI | Behavioral Health & Social Service Providers |
| Street Address |
161 W WISCONSIN AVE |
| City | PEWAUKEE |
| State | WI |
| Zip Code | 53072-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811925613 | Beth A Johnson | Psychologist | 161 W Wisconsin Ave, Pewaukee, WI 53072-3467 | 2006-06-29 |
| 1497208110 | Jacqueline Borthwick | Psychologist | 161 W Wisconsin Ave, Pewaukee, WI 53072-3467 | 2016-07-28 |
| 1225325111 | Mark R Erickson | Physical Therapist | 161 W Wisconsin Ave, Pewaukee, WI 53072-3467 | 2011-06-30 |
| 1659665701 | Nicole Eve Herdegen | Counselor | 161 W Wisconsin Ave, Ste 2b, Pewaukee, WI 53072 | 2011-06-07 |
| 1073669636 | Ralph Kloehn | Plastic Surgery | 161 W Wisconsin Ave, Suite 1g, Pewaukee, WI 53072-3467 | 2007-01-26 |
| 1861548430 | Affiliated Cosmetic and Plastic Surgery | Plastic Surgery | 161 W Wisconsin Ave, Suite 1g, Pewaukee, WI 53072-3467 | 2007-01-26 |
| 1467462275 | Lori L Pyter | Psychologist | 161 W Wisconsin Ave, 2c, Pewaukee, WI 53072-3467 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805423 | Froedtert Health Neighborhood Hospital, LLC | General Acute Care Hospital | 209 Pewaukee Rd, Pewaukee, WI 53072 | 2020-06-09 |
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1609436559 | Brianna Kelly Bates | Optometrist | 1440 Capitol Drive, Suite B, Pewaukee, WI 53072 | 2019-06-13 |
| 1932767316 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1440 Capital Drive, Suite B, Pewaukee, WI 53072 | 2019-05-31 |
| 1417426925 | Edward Dow | Psychologist | W268n1988 Shooting Star Road, Pewaukee, WI 53072 | 2018-11-14 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1093082182 | Kristin Elizabeth Thieneman | Pharmacist | 443 Pewaukee Road, Pewaukee, WI 53072 | 2011-11-17 |
| 1922318393 | Ariane Machin | Psychologist | 161 W. Wisconsin Ave #2b, Pewaukee, WI 53072 | 2010-10-19 |
| 1083930879 | Scott Robert Borkenhagen | Student in an Organized Health Care Education/Training Program | 384 Willow Grove Dr., Unit D, Pewaukee, WI 53072 | 2010-04-19 |
| 1912174988 | Robert Thomas Lynch | Dentist | 234 Oakton Ave, Pewaukee, WI 53072 | 2008-05-09 |
| Find all providers in zip 53072 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598302911 | Hansen, LLC | Counselor | 353 Forest Grove Dr Ste 101, Pewaukee, WI 53072-3765 | 2019-12-04 |
| 1306212535 | Karen A. Snider | Counselor | W275n1203 Springhill Dr, Pewaukee, WI 53072-5331 | 2015-08-11 |
| 1346664869 | Jane Sweney | Counselor | 325 Forest Grove Drive, Pewaukee, WI 53072 | 2014-02-05 |
| 1245447770 | Stephanie Hall Delmore | Counselor | 1177 Quail Ct Ste 101, Pewaukee, WI 53072 | 2007-05-16 |
| 1588127245 | Emily Todd Raclaw | Counselor | N27w23960 Paul Rd Ste 5, Pewaukee, WI 53072-6327 | 2019-04-10 |
| 1093239212 | Ashley Thompson | Counselor | 161 W Wisconsin Ave Ste 2b, Pewaukee, WI 53072-3468 | 2017-07-30 |
| 1790153880 | Catherine Gierszewski | Counselor | 325 Forest Grove Dr, 201, Pewaukee, WI 53072-3894 | 2015-09-08 |
| 1932538303 | Angela Hook | Counselor | 2831 N Grandview Blvd, Suite 209, Pewaukee, WI 53072-5585 | 2013-11-06 |
| 1306172820 | Connie L Beaster | Counselor | 325 Forest Grove Dr, Suite 201, Pewaukee, WI 53072-3894 | 2009-10-19 |
| 1831328533 | Lake Country Counseling Service | Counselor | 325 Forest Grove Dr, Ste. 201, Pewaukee, WI 53072-3793 | 2009-07-02 |
| Find all providers in PEWAUKEE | ||||
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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.