Individual provider Active NPI

Skylar McMurtrey, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Mankato, MN
National Provider Identifier
1285509968
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
307231 Issued in MN
Practice address
501 Madison Ave
Mankato, MN 56001-6109
Phone
(507) 931-8040
NPI assigned
Oct 10, 2025
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 307231 MN Primary

Addresses

Primary practice location

501 Madison Ave
Mankato, MN 56001-6109

Mailing address

2043 Clark St Apt 127
Saint Peter, MN 56082-7533

Other practice location 1

1306 Marshall St
Saint Peter, MN 56082-4500
Phone (507) 931-8040

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
307231MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Southern Minnesota, Inc Addiction (Substance Use Disorder) CurrentSince Oct 12, 2025 Accepting new patients

Locations

1306 Marshall St
Saint Peter, MN 56082
Phone (507) 931-8040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1285509968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 CLARK ST APT 127",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560827533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016109",
            "telephone_number": "507-931-8040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1306 Marshall St",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560824500",
            "country_code": "US",
            "telephone_number": "507-931-8040",
            "fax_number": "507-931-8060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMURTREY",
        "first_name": "SKYLAR",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "307231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.