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

Jennifer Ross, LPC-IT

Individual provider Professional Counselor · NPI 1912748229

Jennifer Ross, LPC-IT is a Mental Health Counselor in Appleton, Wisconsin. Qualified in 2024, 2 years ago. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
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Practice location Address checks out

4650 W Spencer St
Appleton, WI 54914-9106
Phone: (920) 903-1060
Fax: (920) 903-1060
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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 7851-226 (WI)

Record details

NPI number1912748229
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address4650 W Spencer St, Appleton, WI 54914-9106

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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