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

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