Individual provider Active NPI

Reniqua Shaye Skinner, MFT

  • Marriage & Family Therapist
  • Sugar Land, TX
National Provider Identifier
1144074022
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204199 Issued in TX
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

Updated by the provider on Apr 16, 2024

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 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 Former name

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

LicenseStateTypeSpecialty
204199TXMDMarriage & 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.

Verify at the official NPI Registry.