Jennifer Betters-Bubon, LPC
Counselor in Stoughton, WI. Individual provider (NPI-1).
NPI number1053930867
StatusActive
Last updated in NPPESApr 11, 2020
Details
- NPI
- 1053930867
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Betters-Bubon
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2020
- Certification date
- Apr 11, 2020
- Last updated
- Apr 11, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | 6658125 | WI | Yes |
Practice location
127 E Prospect StStoughton, WI 53589-1650
Phone 608-347-1367
Mailing address
127 E Prospect StStoughton, WI 53589-1650
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