Donald Eugene Skrdlant, BS, CCDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

07003 Issued in IA

Practice address

915 Pierce St
Sioux City, IA 51101-1031

Phone

(712) 277-0809

Fax

(712) 255-1120

NPI assigned

Sep 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1164618286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011031",
            "telephone_number": "712-277-0809",
            "fax_number": "712-255-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 PIERCE ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011031",
            "telephone_number": "712-277-0809",
            "fax_number": "712-255-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRDLANT",
        "first_name": "DONALD",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "BS, CCDP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "07003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0791665",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Natalie Slachetka
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• Michael Leroy Sloniker, M.S.
• Amy Small, LISW

• Addiction (Substance Use Disorder) Counselor in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.