JESSICA CLAYBORN LPC
NPI 1740869155
Counselor - Professional in Port Washington, WI

Active since April 04, 2021PECOS EnrolledAccepts Medicare Assignment
1317 W GRAND AVE STE 6, PORT WASHINGTON, WI 53074(262) 427-8905 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2025, Jul 5, 2023, Apr 4, 2021 (3 updates tracked since 2021).

About Jessica Clayborn Lpc NPPES

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

JESSICA CLAYBORN LPC (NPI 1740869155) is an individual professional provider in Port Washington, Wisconsin, licensed in Wisconsin (10470-125) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740869155
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJESSICA CLAYBORNCredential: LPC
Location Address1317 W GRAND AVE STE 6Port Washington, WI 53074-2075
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 4, 2021
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1740869155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 10470-125
Also ListedCounselorTaxonomy 101Y00000X · License 4934226 (WI)
1317 W GRAND AVE STE 6, Port Washington, WI 53074

Other Names 1

Former Name (1)Jessica Brownrigg

Secondary Practice Locations 2

Location 12801 Calumet DrSheboygan, WI 53083-3839 · Phone (920) 451-6908
Location 211518 N PORT WASHINGTON RD STE 202MEQUON, WI 53092-3443 · Phone (262) 999-3495

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Clayborn Lpc 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 ID9739622788
PECOS Enrollment IDI20240618002850
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Clayborn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
16535 W BLUEMOUND RD, SUITE 200
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 556 clinicians in this Medicare group
Adult Mental Health
2801 CALUMET DR
Sheboygan, WI 53083
  • Reassigned Medicare billing, Wisconsin enrollment
  • 10 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Marriage & Family Therapist
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074
Social Worker (Clinical)
1317 W GRAND AVE STE 6
PORT WASHINGTON, WI 53074

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 Jessica Clayborn's NPI number?

The NPI number for Jessica Clayborn is 1740869155. It was assigned to this individual provider in the NPPES registry on April 4, 2021. The provider is also known as Jessica Brownrigg.

Where is Jessica Clayborn located?

Jessica Clayborn practices at 1317 W Grand Ave Ste 6, Port Washington, WI 53074. The listed phone number is (262) 427-8905.

What is Jessica Clayborn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jessica Clayborn enrolled in Medicare?

Yes. Jessica Clayborn 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.

Which organizations bill Medicare for Jessica Clayborn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Clayborn reassigns Medicare benefits to 2 organizations: Cornerstone Counseling Services, Inc (Brookfield, WI) and Nett Work Family Counseling LLC (Sheboygan, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Clayborn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Clayborn accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and UnitedHealthcare list Jessica Clayborn 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 Jessica Clayborn was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.