JENNIFER SKINNER
NPI 1063779700
Counselor - Professional in West Bend, WI

Q: What is Jennifer Skinner's NPI number?

The NPI number for Jennifer Skinner is 1063779700. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Q: What is Jennifer Skinner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Skinner was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2012PECOS Enrolled

125 N 6TH AVE, WEST BEND, WI 53095(262) 334-4340(262) 334-4341 Get Directions Write a Review

NPPES record last updated: April 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jennifer Skinner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER SKINNER (NPI 1063779700) is an individual professional provider in West Bend, Wisconsin, licensed in Wisconsin (1194-226) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063779700

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNIFER SKINNER

Location Address125 N 6TH AVEWest Bend, WI 53095-3394

Mailing Address125 N 6th AveWest Bend, WI 53095-3394

Phone(262) 334-4340

Fax(262) 334-4341

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateApril 19, 2012

✔ NPI 1063779700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 1194-226

Also ListedCounselor · SchoolTaxonomy 101YS0200X · License 701197 (WI)

125 N 6TH AVE, West Bend, WI 53095

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Skinner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547612509

PECOS Enrollment IDI20240116002278

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Skinner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kettle Moraine Counseling LLC

1.3 mi

Mental Health (Including Community Mental Health Center)

400 W RIVER DR
West Bend, WI 53090

Reassigned Medicare billing, Wisconsin enrollment
32 clinicians in this Medicare group

NPI 1568790954 (262) 334-4340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA M LACHNER M.S., LPC-IT

Counselor (Professional)

125 N 6TH AVE, SUITE 201
WEST BEND, WI 53095

Washington County (262) 334-4340

MRS. NICOLE M WRUK APSW

Social Worker (Clinical)

125 N 6TH AVE
WEST BEND, WI 53095

Washington County (414) 369-2127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Skinner's NPI number?

The NPI number for Jennifer Skinner is 1063779700. It was assigned to this individual provider in the NPPES registry on April 19, 2012.

Where is Jennifer Skinner located?

Jennifer Skinner practices at 125 N 6th Ave, West Bend, WI 53095. The listed phone number is (262) 334-4340.

What is Jennifer Skinner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jennifer Skinner enrolled in Medicare?

Yes. Jennifer Skinner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Skinner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Skinner reassigns Medicare benefits to Kettle Moraine Counseling LLC (West Bend, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Skinner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Skinner accept?

Health plans from CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners, Network Health and Quartz and 1 other insurer list Jennifer Skinner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Skinner was last updated on April 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.