Individual provider Active NPI

Terrance Thomas Skaggs

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1124665658
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2025 Stearns Way Ste 111
Saint Cloud, MN 56303-1275
Phone
(320) 253-3540
NPI assigned
Dec 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2025 Stearns Way Ste 111
Saint Cloud, MN 56303-1275

Mailing address

2025 Stearns Way Ste 111
Saint Cloud, MN 56303-1275
Phone (320) 253-3540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20240529000606 MN Practitioner - Marriage and Family Therapist 7315389921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Center for Family Counseling IncGroup PAC ID 9638075963, 9 clinicians

Practice addresses (Care Compare)

22881 178TH Ave
Cold Spring, MN 56320-9811
Phone (320) 253-3540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3899MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Counseling Inc CurrentSince Apr 14, 2024 Accepting new patients

Locations

22881 178th Ave
Cold Spring, MN 56320

2025 Stearns Way
Ste 111
Saint Cloud, MN 56303

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1124665658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY STE 111",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031275",
            "telephone_number": "320-253-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 STEARNS WAY STE 111",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031275",
            "telephone_number": "320-253-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAGGS",
        "first_name": "TERRANCE",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.