Active NPI
Michele Schmidt Skolnicki, MA, PHD, LPCC
- Professional Counselor
- Wooster, OH
National Provider Identifier
1194152587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2001871
- Practice address
- 2000 Noble Dr
Wooster, OH 44691-5353 - Phone
- (330) 202-3862
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S-0022560 | OH | |
| Professional Counselor | 101YP2500X | E.2001871 | OH | Primary |
Addresses
Primary practice location
2000 Noble Dr
Wooster, OH 44691-5353
Mailing address
203 Evergreen Dr
Creston, OH 44217-9486
Phone (330) 418-5793
Other practice location 1
2285 Benden Dr
Wooster, OH 44691-2568
Phone (330) 264-9029
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
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.2001871 | OH | MD | Professional Counselor |
| S-0022560 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1194152587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 EVERGREEN DR",
"city": "CRESTON",
"state": "OH",
"postal_code": "442179486",
"telephone_number": "330-418-5793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NOBLE DR",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915353",
"telephone_number": "330-202-3862"
}
],
"practiceLocations": [
{
"address_1": "2285 Benden Dr",
"address_purpose": "LOCATION",
"city": "Wooster",
"state": "OH",
"postal_code": "446912568",
"country_code": "US",
"telephone_number": "330-264-9029",
"fax_number": "330-263-7251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKOLNICKI",
"first_name": "MICHELE",
"middle_name": "SCHMIDT",
"name_prefix": "Dr.",
"credential": "MA, PHD, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S-0022560",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2001871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.