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CRYSTAL SKENANDORE LPC
NPI 1891308649
Counselor - Mental Health in Green Bay, WI

Active since August 30, 2020PECOS EnrolledAccepts Medicare Assignment
480 PILGRIM WAY STE 1300-A, GREEN BAY, WI 54304(920) 610-5119(920) 610-5120 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2021, Aug 30, 2020 (2 updates tracked since 2020).

About Crystal Skenandore Lpc NPPES

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

CRYSTAL SKENANDORE LPC (NPI 1891308649) is an individual mental health provider in Green Bay, Wisconsin, licensed in Wisconsin (7864-125) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1891308649
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCRYSTAL SKENANDORECredential: LPC
Location Address480 PILGRIM WAY STE 1300-AGreen Bay, WI 54304-5280
Mailing Address601 Silas DrDe Pere, WI 54115-9333 · (507) 251-2411
Phone(920) 610-5119
Fax(920) 610-5120
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 30, 2020
Last NPPES UpdateOctober 2, 20252 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1891308649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 7864-125
480 PILGRIM WAY STE 1300-A, Green Bay, WI 54304
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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 and accepts Medicare assignment

Crystal Skenandore Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567806151
PECOS Enrollment IDI20240222002078
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 Crystal Skenandore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates Counseling Wi., S.C.
166 mi
Mental Health (Including Community Mental Health Center)
201 MAIN ST STE 500
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
  • 133 clinicians in this Medicare group
NPI 1659977866 (651) 379-1750

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.

SARAH ELIZABETH OSTWINKLE LCSW
Social Worker (Clinical)
480 PILGRIM WAY STE 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119
STEFANIE VITUCCI APNP
Nurse Practitioner (Psychiatric/Mental Health)
480 PILGRIM WAY STE 1300-A
GREEN BAY, WI 54304
Brown County (920) 610-5119

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 Crystal Skenandore's NPI number?

The NPI number for Crystal Skenandore is 1891308649. It was assigned to this individual provider in the NPPES registry on August 30, 2020.

Where is Crystal Skenandore located?

Crystal Skenandore practices at 480 Pilgrim Way Ste 1300-A, Green Bay, WI 54304. The listed phone number is (920) 610-5119.

What is Crystal Skenandore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Crystal Skenandore enrolled in Medicare?

Yes. Crystal Skenandore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Crystal Skenandore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Skenandore reassigns Medicare benefits to Nystrom & Associates Counseling Wi., S.C. (La Crosse, 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 Crystal Skenandore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Skenandore accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, HealthPartners, Quartz and Security Health Plan and 1 other insurer list Crystal Skenandore 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 Crystal Skenandore was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.