MRS. JENNIFER M CARRASCO M.A. PHD
NPI 1528353422
Psychologist in Milwaukee, WI

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212(414) 372-8080(414) 267-8570 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2024, Feb 24, 2017, Nov 2, 2016 (3 updates tracked since 2016).

About Mrs. Jennifer M Carrasco M.a. Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER M CARRASCO M.A. PHD (NPI 1528353422) is an individual psychologist in Milwaukee, Wisconsin, licensed in Wisconsin (3124-57) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1528353422
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. JENNIFER M CARRASCOCredential: M.A. PHD
Location Address2555 N DR MARTIN LUTHER KING DRMilwaukee, WI 53212-2709
Mailing Address2555 N Dr Martin Luther King Jr DrMilwaukee, WI 53212-2709 · (414) 372-8080 · Fax (414) 372-7425
Fax(414) 267-8570
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2011
Last NPPES UpdateJuly 3, 20243 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
NPI 1528353422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 3124-57
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 3124-57 (WI)
2555 N DR MARTIN LUTHER KING DR, Milwaukee, WI 53212

Secondary Practice Locations 2

Location 18200 W Silver Spring DrMilwaukee, WI 53218-2552 · Phone (414) 760-3900 · Fax (414) 464-6472
Location 24555 W Schroeder DrBrown Deer, WI 53223-1475 · Phone (414) 355-9000 · Fax (414) 797-0804

Other Identifiers 1

Medicaid100015903WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jennifer M Carrasco M.a. Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395969430
PECOS Enrollment IDI20140612000111
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2555 N DR MARTIN LUTHER KING DR, PHARMACY
MILWAUKEE, WI 53212
Family Medicine
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INC
MILWAUKEE, WI 53212
Dentist
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Dentist
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INC
MILWAUKEE, WI 53212
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Nurse Practitioner (Pediatrics)
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Clinic/Center (Federally Qualified Health Center (FQHC))
2555 N DR MARTIN LUTHER KING DR
MILWAUKEE, WI 53212
Physical Medicine & Rehabilitation
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE HEALTH SERVICES INC
MILWAUKEE, WI 53212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Carrasco's NPI number?

The NPI number for Jennifer Carrasco is 1528353422. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Jennifer Carrasco located?

Jennifer Carrasco practices at 2555 N Dr Martin Luther King Dr, Milwaukee, WI 53212. The listed phone number is (414) 372-8080.

What is Jennifer Carrasco's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Carrasco enrolled in Medicare?

Yes. Jennifer Carrasco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Carrasco accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Network Health and UnitedHealthcare list Jennifer Carrasco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Carrasco was last updated on July 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.