Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Ann Spors, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1356197727

Jennifer Ann Spors, SAC-IT is a Mental Health Counselor in West Bend, Wisconsin. Qualified in 2025, 1 year ago. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

724 Elm St
West Bend, WI 53095-3205
Phone: (262) 353-9701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12097-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 20534-130 (WI)
Counselor Taxonomy 101Y00000X · Licence 7834-226 (WI)

Record details

NPI number1356197727
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedApril 26, 2024
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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