Jessica Clayborn, LPC in Port Washington, WI - Medicare Counselor Provider

Jessica Clayborn, LPC is a medicare enrolled "Counselor - Professional" provider in Port Washington, Wisconsin. Her current practice location is 1317 W Grand Ave Ste 6, Port Washington, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 427-8905.

Jessica Clayborn is licensed to practice in Wisconsin (license number 10470-125) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740869155.

Contact Information

	Jessica Clayborn, LPC
	1317 W Grand Ave Ste 6, Port Washington, WI 53074-2075
	(262) 427-8905
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jessica Clayborn
Gender	Female
Speciality	Counselor - Professional
Location	1317 W Grand Ave Ste 6, Port Washington, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740869155
Provider Enumeration Date: 04/04/2021
Last Update Date: 11/06/2025

Medicare PECOS Information:

PECOS PAC ID: 9739622788
Enrollment ID: I20240618002850

Medical Identifiers

Medical identifiers for Jessica Clayborn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740869155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	4934226 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	10470-125 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Clayborn allows following entities to bill medicare on her behalf.

Entity Name	Nett Work Family Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053406066 PECOS PAC ID: 5597849604 Enrollment ID: O20080228000182

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Clayborn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jessica Clayborn, LPC 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () -	Jessica Clayborn, LPC 1317 W Grand Ave Ste 6, Port Washington, WI 53074-2075 Ph: (262) 427-8905

Reviews and Comments

Counselor in Port Washington, WI

Mrs. Ashley Ann Schmitz, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N Franklin St Ste 206, Port Washington, WI 53074 Phone: 262-235-4385 Fax: 414-310-0377
Jessica Ollman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8148 Fax: 262-284-8209
Mrs. Heather Lynn Carlson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Main St, Port Washington, WI 53074 Phone: 262-284-8229 Fax: 262-284-8104
Marcy Drummy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907
Austin Schultz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave Ste 6, Port Washington, WI 53074 Phone: 262-427-8905
Bonnie Halper, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-5789 Fax: 262-284-5907
Marissa Alexandra Duncan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1317 W Grand Ave Ste 6, Port Washington, WI 53074 Phone: 262-427-8905

Jessica Clayborn, LPC - Medicare Counselor in Port Washington, WI