| Jennifer Skinner, | |
|
125 N 6th Ave, West Bend, WI 53095-3394 | |
| (262) 334-4340 | |
| (262) 334-4341 |
| Full Name | Jennifer Skinner |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 125 N 6th Ave, West Bend, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063779700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 1194-226 (Wisconsin) | Primary |
| 101YS0200X | Counselor - School | 701197 (Wisconsin) | Secondary |
| Entity Name | Kettle Moraine Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568790954 PECOS PAC ID: 8527353747 Enrollment ID: O20200416001123 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Skinner, 125 N 6th Ave, West Bend, WI 53095-3394 Ph: () - | Jennifer Skinner, 125 N 6th Ave, West Bend, WI 53095-3394 Ph: (262) 334-4340 |
Ms. Ashley Elizabeth Birkholz, CAPSW, SAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 Fax: 262-338-3367 | |
Renee M Janusz, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 333 E Washington St Ste 2000, West Bend, WI 53095 Phone: 262-335-4545 Fax: 262-335-6827 | |
William James Skalecki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 N Main St Ste 110, West Bend, WI 53095 Phone: 262-707-3052 | |
Jennifer Ryan, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1626 Clarence Ct, West Bend, WI 53095 Phone: 262-338-8611 | |
Jonathan France, LPC, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 333 E Washington St Ste 2100, West Bend, WI 53095 Phone: 262-365-6563 Fax: 262-365-6559 | |
Hollister L Jefferson, M.A., SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 W River Dr, West Bend, WI 53090 Phone: 262-334-4340 | |
Shana J Schloemer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1615 Barton Ave, West Bend, WI 53090 Phone: 262-334-5392 Fax: 262-334-4475 |