Marvin Eugene Skinner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701000744 Issued in VA

Practice address

158 Pleasant Shade Dr
Emporia, VA 23847-7837

Phone

(434) 348-9071

Fax

(434) 336-0835

NPI assigned

Jun 22, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Skinner Holistic Health Corporation

  • Professional Counselor
  • Emporia, VA
  • NPI 1487862579
  NPD (past) Authorized official

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093751273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 JEFFERSON ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238472307",
            "telephone_number": "434-634-6992",
            "fax_number": "434-336-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 PLEASANT SHADE DR",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238477837",
            "telephone_number": "434-348-9071",
            "fax_number": "434-336-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "MARVIN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701000744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086374",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945280",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188273",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S.T.a.a.N.D Youth Services, LLC
• William Robert Shannonhouse Jr., RPH
• Keri Ann Silvis-Root, FNP-BC
• Iqbal Singh, M.D.
• Skinner Holistic Health Corporation
• Whitney Smallwood, LPC
• Anastasia Katrina Smith, ACSW, CMSW, LCSW
• Latroyal Smith
• Rakesh K Sood, M.D.
• Southern Dominion Health System, Inc. (Emporia Greensville Medical Center)

• Professional Counselor in Emporia, VA
• Providers in Emporia, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.