Active NPI
Reniqua Shaye Skinner, MFT
- Marriage & Family Therapist
- Sugar Land, TX
National Provider Identifier
1144074022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 204199
- Practice address
- 130 Industrial Blvd
Sugar Land, TX 77478-3220 - Phone
- (281) 508-2205
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 204199 | TX | Primary |
Addresses
Primary practice location
130 Industrial Blvd
Sugar Land, TX 77478-3220
Mailing address
1818 Bending Green Dr
Rosharon, TX 77583-2908
Phone (903) 530-8570
Other practice location 1
1350 Nasa Pkwy Ste 210
Houston, TX 77058-2800
Phone (281) 508-2205
Other names 1
- Reniqua Shaye Hicks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204199 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1144074022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 BENDING GREEN DR",
"city": "ROSHARON",
"state": "TX",
"postal_code": "775832908",
"telephone_number": "903-530-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 INDUSTRIAL BLVD",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783220",
"telephone_number": "281-508-2205"
}
],
"practiceLocations": [
{
"address_1": "1350 Nasa Pkwy Ste 210",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770582800",
"country_code": "US",
"telephone_number": "281-508-2205",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKINNER",
"first_name": "RENIQUA",
"middle_name": "SHAYE",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "204199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENIQUA",
"last_name": "HICKS",
"middle_name": "SHAYE",
"credential": "MFT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.