Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Sullivan, LPC-IT

Individual provider Professional Counselor · NPI 1013543834

Jessica Sullivan, LPC-IT is a Professional Counselor in Elm Grove, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020

Practice location Address checks out

925 Elm Grove Rd Ste 303
Elm Grove, WI 53122-2572
Phone: (414) 375-9314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4600-226 (WI)

Record details

NPI number1013543834
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorYes
NPI enumeratedMarch 13, 2020
Last updated in NPPESMarch 13, 2020
Certification dateMarch 13, 2020
Mailing address5721 N 58th St, Milwaukee, WI 53218-2424

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