Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer L Bernini

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1790456812

Jennifer L Bernini is a Mental Health Counselor in Beloit, Wisconsin. Qualified in 2022, 4 years ago. Practices with Ladd Memorial Hospital, a 71-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

540 E Grand Ave
Beloit, WI 53511-6314
Phone: (608) 368-8087
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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 11384-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19601-130 (WI)

Record details

NPI number1790456812
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2021
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address540 E Grand Ave, Beloit, WI 53511-6314

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ladd Memorial Hospital — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Beloit