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

Jennifer Skinner

Individual provider Professional Counselor · NPI 1063779700

Jennifer Skinner is a Mental Health Counselor in West Bend, Wisconsin. Qualified in 2007, 19 years ago. Practices with Kettle Moraine Counseling LLC, a 20-clinician group. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

125 N 6th Ave
West Bend, WI 53095-3394
Phone: (262) 334-4340
Fax: (262) 334-4341
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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 1194-226 (WI)
School Counselor Taxonomy 101YS0200X · Licence 701197 (WI)

Record details

NPI number1063779700
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESApril 19, 2012
Mailing address125 N 6th Ave, West Bend, WI 53095-3394

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Kettle Moraine Counseling Llc — 20 clinicians
Accepts Medicare assignment Not indicated

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