JENNIFER ANN SPORS SAC-IT
NPI 1356197727
Counselor - Professional in West Bend, WI

Q: What is Jennifer Spors's NPI number?

The NPI number for Jennifer Spors is 1356197727. It was assigned to this individual provider in the NPPES registry on April 26, 2024.

Q: What is Jennifer Spors'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 Spors was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 26, 2024PECOS Enrolled

724 ELM ST, WEST BEND, WI 53095(262) 353-9701 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, Apr 26, 2024 (2 updates tracked since 2024).

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About Jennifer Ann Spors Sac-it NPPES

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

JENNIFER ANN SPORS SAC-IT (NPI 1356197727) is an individual professional provider in West Bend, Wisconsin, licensed in Wisconsin (12097-125) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1356197727

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJENNIFER ANN SPORSCredential: SAC-IT

Location Address724 ELM STWest Bend, WI 53095-3205

Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004

Phone(262) 353-9701

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 26, 2024

Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1356197727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in WI · 12097-125

Also ListedCounselorTaxonomy 101Y00000X · License 7834-226 (WI)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20534-130 (WI)

724 ELM ST, 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), HealthPartners, Network Health.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 Ann Spors Sac-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143717389

PECOS Enrollment IDI20251013002709

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 12

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

SABRINA C GRUBER

Student in an Organized Health Care Education/Training Program