MEDICARE: JENNIFER JANOWITZ MS, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	8557-125	WI

General Provider Information

NPI Number	:	1649751223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER JANOWITZ MS, LPC

Provider Business Mailing Address
First Line	:	1423 W PORTVIEW DR
Second Line	:
City	:	PORT WASHINGTON
State	:	WI
Zip	:	53074-2460
Country	:	US
Telephone Number	:	865-742-5869
Fax Number	:

Provider Business Practice Location Address
First Line	:	1240 W RANCHITO LN
Second Line	:
City	:	MEQUON
State	:	WI
Zip	:	53092-6089
Country	:	US
Telephone Number	:	262-241-3231
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2018
Last Update Date	:	05/27/2026

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