JADE ELIZABETH FOWLER
NPI 1366283566
Counselor - Professional in Greenfield, WI
Active since June 03, 2024
4811 S 76 STREET, #305, GREENFIELD, WI 53220(262) 475-5684(414) 325-7753 Get Directions Write a Review
About Jade Elizabeth Fowler NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADE ELIZABETH FOWLER (NPI 1366283566) is an individual professional provider in Greenfield, Wisconsin, licensed in Wisconsin (12231-125) and active in the NPI registry since June 2024. She maintains a secondary practice location in Elkhorn.
NPPES Registry Identity
NPI1366283566
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJADE ELIZABETH FOWLER
Location Address4811 S 76 STREET, #305Greenfield, WI 53220-4364
Mailing Address12581 Duncan Ln Unit 103New Berlin, WI 53151-8796 · (608) 772-9895
Phone(262) 475-5684
Fax(414) 325-7753
Sole ProprietorNo
Enumeration DateJune 3, 2024
Last NPPES UpdateDecember 11, 20253 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1366283566 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 12231-125
4811 S 76 STREET, Greenfield, WI 53220
Other Names 1
Former Name (1)Jade Elizabeth Meicher
Secondary Practice Location 1
Location 1101 W Evergreen Parkway, 1Elkhorn, WI 53121-4095 · Phone (414) 325-7741
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366283566, enumerated as an "individual" on June 03, 2024.
The provider is located at 4811 S 76 STREET #305 GREENFIELD, WI 53220 and the phone number is (262) 475-5684.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
