Derek Krist Skapars, LCDCI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

24323 Issued in TX

Practice address

1205 W University Blvd
Odessa, TX 79764-7119

Phone

(432) 614-5720

Fax

(877) 729-4033

NPI assigned

Jun 22, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Derek Krist Skapars Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1265883169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N MUSKINGUM AVE",
            "address_2": "B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611246",
            "telephone_number": "602-768-8818",
            "fax_number": "877-729-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 W UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797647119",
            "telephone_number": "432-614-5720",
            "fax_number": "877-729-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKAPARS",
        "first_name": "DEREK",
        "middle_name": "KRIST",
        "name_prefix": "Mr.",
        "credential": "LCDCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "24323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEREK",
            "last_name": "SKAPARS",
            "middle_name": "KRIST",
            "prefix": "MR.",
            "credential": "LCDCI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Justin Lee Simpson, FNP-BC
• Sing Dy Uy,MD Clinic PA
• Monika Singh, MD
• Jackline Sirengo
• Sara Elizabeth Siruta, D.D.S.
• Genevia Raylene Slate, LPC
• Regina Lynn Sledge, NP
• Sleep Better West Texas PLLC
• Sleepwind Anesthesia, PA
• Ladarius Slider, PTA

• Addiction (Substance Use Disorder) Counselor in Odessa, TX
• Providers in Odessa, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.