MRS. JESSICA ELLINGSWORTH
NPI 1871900621
Counselor - Professional in Milwaukee, WI

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since July 14, 2014

4001 W CAPITOL DR, MILWAUKEE, WI 53216(414) 810-6691(866) 719-3024 Get Directions Write a Review

NPPES record last updated: July 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Jessica Ellingsworth NPPES

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

MRS. JESSICA ELLINGSWORTH (NPI 1871900621) is an individual professional provider in Milwaukee, Wisconsin, licensed in Wisconsin (2126-226) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1871900621

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. JESSICA ELLINGSWORTH

Location Address4001 W CAPITOL DRMilwaukee, WI 53216-2530

Mailing Address8008 104th AvePleasant Prairie, WI 53158-1230 · (920) 784-9727 · Fax (866) 719-3024

Phone(414) 810-6691

Fax(866) 719-3024

Sole ProprietorYes

Enumeration DateJuly 14, 2014

✔ NPI 1871900621 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 · 2126-226

4001 W CAPITOL DR, Milwaukee, WI 53216

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Other Providers at the Same Location NPPES 20

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

ALBERT JACKSON AODA

Community/Behavioral Health