Provider Demographics
NPI:1770381717
Name:ORTEGA-JENNA PSYCHOTHERAPY AND CONSULTING
Entity type:Organization
Organization Name:ORTEGA-JENNA PSYCHOTHERAPY AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:CECILIA
Authorized Official - Last Name:ORTEGA-JENNA
Authorized Official - Suffix:
Authorized Official - Credentials:MS,LMFT
Authorized Official - Phone:414-710-1574
Mailing Address - Street 1:110 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:POYNETTE
Mailing Address - State:WI
Mailing Address - Zip Code:53955-9329
Mailing Address - Country:US
Mailing Address - Phone:414-243-2051
Mailing Address - Fax:
Practice Address - Street 1:110 N MAIN ST
Practice Address - Street 2:
Practice Address - City:POYNETTE
Practice Address - State:WI
Practice Address - Zip Code:53955-9329
Practice Address - Country:US
Practice Address - Phone:414-710-1574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-05
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty