Individual provider Active NPI

Joann Skinner, LPCC

  • Mental Health Counselor
  • Winona, MN
National Provider Identifier
1053016626
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC03761 Issued in MN
Practice address
420 E Sarnia St
Winona, MN 55987-6365
Phone
(507) 474-7172
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC03761 MN Primary

Addresses

Primary practice location

420 E Sarnia St
Winona, MN 55987-6365

Mailing address

420 E Sarnia St
Winona, MN 55987-6365
Phone (608) 317-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219000920 MN Practitioner - Mental Health Counselor 2769832682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hiawatha Valley Mental Health Center IncGroup PAC ID 7113026998, 25 clinicians

Practice addresses (Care Compare)

420 E Sarnia St
Suite 2100
Winona, MN 55987-6414
Phone (507) 454-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC03761MNMDMental Health Counselor
3761MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Valley Mental Health Center Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

611 Broadway Ave
Ste 100
Wabasha, MN 55981
Phone (651) 565-2234

420 E Sarnia St
Winona, MN 55987
Phone (507) 454-3680

420 E Sarnia St
Ste 2100
Winona, MN 55987
Phone (507) 454-4341

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1053016626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876365",
            "telephone_number": "608-317-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876365",
            "telephone_number": "507-474-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JOANN",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC03761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.