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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: July 19, 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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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.

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

What insurance does Crystal Skenandore accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, 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 with the weekly NPPES data releases published by CMS.