Individual provider Active NPI

Kathe Skinner, M.A., L.M.F.T.

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1144203555
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
500 Issued in CO
Practice address
1870 Dublin Blvd
Ste B
Colorado Springs, CO 80918-1294
Phone
(719) 598-6232
Fax
(719) 528-8517
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 500 CO Primary

Addresses

Primary practice location

1870 Dublin Blvd
Ste B
Colorado Springs, CO 80918-1294

Mailing address

78 Raven Hills CT
Colorado Springs, CO 80919-1316
Phone (719) 598-6232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20251209000010 CO Practitioner - Marriage and Family Therapist 3779077714 Practice locations: Colorado Springs, CO

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Colorado Springs, CO 80918
Phone (719) 598-6232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
500COMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144203555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 RAVEN HILLS CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191316",
            "telephone_number": "719-598-6232",
            "fax_number": "719-528-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 DUBLIN BLVD",
            "address_2": "STE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181294",
            "telephone_number": "719-598-6232",
            "fax_number": "719-528-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "KATHE",
        "name_prefix": "Ms.",
        "credential": "M.A., L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.