Jennifer Skinner
NPI 1063779700ActiveIndividual· Counselor, Professional· West Bend, WI
Counselor, Professional with Kettle Moraine Counseling LLC, practicing in West Bend, Wisconsin. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1063779700 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 19, 2012 |
| Last updated in NPPES | Apr 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 1194-226 | WI |
| Counselor, School | 101YS0200X | 701197 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WI) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Kettle Moraine Counseling LLCWest Bend, WI · 21 clinicians
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