Healthcare Provider Details

I. General information

NPI: 1831048545
Provider Name (Legal Business Name): JESSICA NORGEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 N 8TH ST
SHEBOYGAN WI
53081-4006
US

IV. Provider business mailing address

930 ESSLINK LN
CEDAR GROVE WI
53013-1633
US

V. Phone/Fax

Practice location:
  • Phone: 920-459-3207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: