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

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: July 26, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Counselor (Professional)
125 N 6TH AVE, SUITE 201
WEST BEND, WI 53095
Social Worker (Clinical)
125 N 6TH AVE
WEST BEND, WI 53095

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.

What insurance does Jennifer Skinner accept?

Health plans from CareSource (Common Ground Healthcare), HealthPartners, Medica, 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 with the weekly NPPES data releases published by CMS.