Lydia Grace Skipper, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A19987 Issued in NC

Practice address

110 W Grover St
Shelby, NC 28150-3825

Phone

(980) 487-2800

NPI assigned

Jun 10, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1023850229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 BELAIRE RD",
            "city": "MOORESBORO",
            "state": "NC",
            "postal_code": "281148201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503825",
            "telephone_number": "980-487-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPPER",
        "first_name": "LYDIA",
        "middle_name": "GRACE",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surendra Pal Singh Sidhu, MD
• Latonyia Shunae Simmons, LCSWA
• Ayobami Jadesola Sina Odunsi, MD
• Kimberly Jane Sinclair, PNP
• Crystal C Sipes, FNP-C
• Barbara Small, NURSE
• Sierra Smart, PHARMD
• Allyson Lane Smith
• Bailey Smith, LCSW
• Brian D. Smith, M.D.

• Mental Health Counselor in Shelby, NC
• Providers in Shelby, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.