MISS JODY S JESSUP MS, LPC, RD
NPI 1811170632
Counselor - Professional in Sturgeon Bay, WI

Active since December 14, 2007
620 N 12TH AVE, STURGEON BAY, WI 54235(920) 743-9554 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Jody S Jessup Ms, Lpc, Rd NPPES

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

MISS JODY S JESSUP MS, LPC, RD (NPI 1811170632) is an individual professional provider in Sturgeon Bay, Wisconsin and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1811170632
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS JODY S JESSUPCredential: MS, LPC, RD
Location Address620 N 12TH AVESturgeon Bay, WI 54235-1249
Mailing Address620 N 12th AveSturgeon Bay, WI 54235-1249 · (920) 743-9554
Sole ProprietorNo
Enumeration DateDecember 14, 2007
NPI 1811170632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
620 N 12TH AVE, Sturgeon Bay, WI 54235

Other Identifiers 1

Medicaid43727200WI

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
620 N 12TH AVE
STURGEON BAY, WI 54235
Counselor
620 N 12TH AVE
STURGEON BAY, WI 54235
Social Worker (Clinical)
620 N 12TH AVE
STURGEON BAY, WI 54235
Counselor
620 N 12TH AVE
STURGEON BAY, WI 54235

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 Jody Jessup's NPI number?

The NPI number for Jody Jessup is 1811170632. It was assigned to this individual provider in the NPPES registry on December 14, 2007.

Where is Jody Jessup located?

Jody Jessup practices at 620 N 12th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 743-9554.

What is Jody Jessup's specialty?

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

When was this NPI record last updated?

The NPPES record for Jody Jessup was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.