Robert M Skaggs, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

WY LPC#311 Issued in WY

Practice address

420 S. Jackson St.
Jackson, WY 83001-1587

Phone

(307) 413-6262

Fax

(307) 733-7673

NPI assigned

Apr 24, 2008

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 names 1

• Bob Skaggs, LPC Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1104091727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1587",
            "address_2": "420 S. JACKSON ST.",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830011587",
            "telephone_number": "307-413-6262",
            "fax_number": "307-733-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S. JACKSON ST.",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830011587",
            "telephone_number": "307-413-6262",
            "fax_number": "307-733-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "WY LPC#311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "SKAGGS, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Jackson, WY
• Professional Counselor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.