JENNIFER L BERNINI – Professional Counselor, NPI 1790456812

JENNIFER L BERNINI is a healthcare provider. based in Beloit, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 19601-130 (WI). The NPI Number for JENNIFER L BERNINI is 1790456812

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L BERNINI
NPI
1790456812
Phone
(608) 268-8087
Address
540 E GRAND AVE
Enumeration Date
28 September 2021
Last Update Date
5 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083688087
Graduation Year
2022 (4 years ago)
PAC ID
5193253417
Group Practice PAC ID
1658655865
Professional Enrollment ID
I20250114001168
Address ID
WI535116314BE540XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

1,777 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for JENNIFER L BERNINI

  • 540 E GRAND AVE

    BELOIT, WI 535116314

    Phone: (608) 268-8087

    Type: Mailing

  • 25 KESSEL CT STE 105

    MADISON, WI 537116227

    Phone:

    Type: Mailing

  • 702 W MAIN ST

    MADISON, WI 537151424

    Phone: (608) 280-2610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250114001168IMental Health CounselorWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658655865View full group profile
NameSpecialtyState
Nurse PractitionerWI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical Social WorkerWI
Clinical Social WorkerWI

Reviews

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Frequently asked questions

How do I look up JENNIFER L BERNINI by NPI?
Use NPI 1790456812 when you need to reference JENNIFER L BERNINI in forms, claims, or directories.
Is JENNIFER L BERNINI currently active in the NPI registry?
CMS-published data lists JENNIFER L BERNINI as an active registrant.
What field does JENNIFER L BERNINI work in?
You can think of JENNIFER L BERNINI as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place JENNIFER L BERNINI?
The snapshot lists Beloit, Wisconsin for JENNIFER L BERNINI; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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