Jennifer A. Skruck, PCC-S
NPI 1205024957ActiveIndividual· Counselor, Professional· Wooster, OH
Counselor, Professional (PCC-S) with Bloomington Medical Services LLC, practicing in Wooster, Ohio. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1205024957 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PCC-S |
| Sole proprietor | No |
| NPI issued | Oct 9, 2007 |
| Last updated in NPPES | Jul 27, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | E0008479-S | OH |
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 (OH) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Bloomington Medical Services LLCWooster, OH · 107 clinicians
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