Charles David Skinner, M.A., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-752 Issued in WY

Practice address

2909 Bent Ave
Cheyenne, WY 82001-2742

Phone

(307) 640-2182

Fax

(307) 638-2959

NPI assigned

Jan 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1104063338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 E 21ST ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014162",
            "telephone_number": "307-640-2182",
            "fax_number": "307-638-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 BENT AVE",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012742",
            "telephone_number": "307-640-2182",
            "fax_number": "307-638-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.A., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-09",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-752",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "752",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Sipe, OD
• Rachel Sipes, OTR/L
• Tharenie Sivarajah, MD
• Ziad Skaf
• Greta Skagen, FNP
• Jack Durwood Skinner II, RN
• Karin C Skinner, MS
• David M Skolnick, DO
• Jamie Skrove, D.O.
• Tena P Slizeski

• Professional Counselor in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.