Healthcare Provider Details

I. General information

NPI: 1770496093
Provider Name (Legal Business Name): SILVERLEAF COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4318 N SILVERLEAF CT
APPLETON WI
54913-7733
US

IV. Provider business mailing address

4318 N SILVERLEAF CT 4318 N SILVERLEAF CT
APPLETON WI
54913-7733
US

V. Phone/Fax

Practice location:
  • Phone: 414-759-8481
  • Fax:
Mailing address:
  • Phone: 414-759-8481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LYNN BUSHMAN
Title or Position: MENTAL HEALTH THERAPIST/OWNER
Credential: LCSW
Phone: 414-759-8481