Jaclyn Sitkowski

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6784-125 Issued in WI

Practice address

213 E Whitefish Rd
Port Washington, WI 53074-1336

Phone

(414) 215-0847

NPI assigned

Jun 20, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shore Counseling and Consulting Clinic, S.C.

  • Group Psychotherapy Psychologist
  • Milwaukee, WI
  • NPI 1588710073
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1639529779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E WHITEFISH RD",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741336",
            "telephone_number": "414-215-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E WHITEFISH RD",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741336",
            "telephone_number": "414-215-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITKOWSKI",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6784-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Shininger, LCSW LMFT
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 503)
• Angella Adelle Siegel, OTR
• Cheryl L Simon, RN
• Simplistic Nutrition LLC
• Laura S Skinner
• Chris Smith, MDIV LMFT
• Allen R Spaude, DC
• Richard Spenner Sr.
• Steven J. Carini DDS

• Mental Health Counselor in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.