Individual provider Active NPI

Dennis Hartley Skaggs, MA, MS, LMCHA, MHP

  • Counselor
  • Mount Vernon, WA
National Provider Identifier
1053868570
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC60787925 Issued in WA
Practice address
1601 E College Way
Mount Vernon, WA 98273-5612
Phone
(360) 763-5595
Fax
(360) 399-7639
NPI assigned
Sep 1, 2016
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC60787925 WA Primary
Mental Health Counselor 101YM0800X MC60787925 WA

Addresses

Primary practice location

1601 E College Way
Mount Vernon, WA 98273-5612

Mailing address

PO Box 3810
Everett, WA 98213

Other practice location 1

209 Milwaukee Street
Mt Vernon, WA 98273
Phone (360) 419-7580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
MC60787925WAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1053868570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E COLLEGE WAY",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735612",
            "telephone_number": "360-763-5595",
            "fax_number": "360-399-7639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Milwaukee Street",
            "address_purpose": "LOCATION",
            "city": "Mt Vernon",
            "state": "WA",
            "postal_code": "98273",
            "country_code": "US",
            "telephone_number": "360-419-7580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "DENNIS",
        "middle_name": "HARTLEY",
        "credential": "MA, MS, LMCHA, MHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "MC60787925",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60787925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.