Carly Echols Skougard

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8328757-3502 Issued in UT

Practice address

719 N 1890 W # 38B
Provo, UT 84601-1333

Phone

(385) 626-9345

NPI assigned

Nov 17, 2023

Last updated

Nov 17, 2023By the provider in NPPES

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

Enrolled in UT

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling Made Simple PLLCGroup PAC ID 0042581647, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling Made Simple PLLC

  • Clinical Social Worker
  • Provo, UT
  • NPI 1093255226
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1063287365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 WOODLAND DR",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840975633",
            "telephone_number": "801-372-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N 1890 W # 38B",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011333",
            "telephone_number": "385-626-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOUGARD",
        "first_name": "CARLY",
        "middle_name": "ECHOLS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8328757-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mairyn Skeen
• Andy Hawkes Skelton
• David Skiles, CMHC
• Kevin Skinner, PHD
• Susanna M Skinner
• Courtney Slade
• Lisa Marion Sladyk, RN
• Sarah Roseman Slater, NP
• Kyle Kevin Sleight, NP
• Natasha Eudora Sleight

• Clinical Social Worker in Provo, UT
• Providers in Provo, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.