JENNIFER SKINNER NPI 1063779700

NPI Information

  • NPI: 1063779700
  • Provider Name: JENNIFER SKINNER
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 125 N 6TH AVE
    WEST BEND, WI
    ZIP 53095
  • Phone: (262) 334-4340

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NPI Details

Jennifer Skinner is a professional counselor in West Bend, WI with 19 years of experience. Jennifer Skinner NPI is 1063779700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

125 N 6TH AVE
WEST BEND, WI
ZIP 53095-394
Phone: (262) 334-4340
Fax: (262) 334-4341

The NPI 1063779700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/19/2012 and was last updated on 4/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YS0200XCounselorSchool701197WISCONSINNo
2101YP2500XCounselorProfessional1194-226WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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