Provider Demographics
NPI:1891689576
Name:ROSSMANN, JENNIFER L (MS, LPC-IT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:ROSSMANN
Suffix:
Gender:F
Credentials:MS, LPC-IT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 MAIN ST STE 205
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53403-1075
Mailing Address - Country:US
Mailing Address - Phone:262-221-8275
Mailing Address - Fax:
Practice Address - Street 1:422 MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-1075
Practice Address - Country:US
Practice Address - Phone:262-221-8275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8445-226101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health