Individual provider Active NPI

Marina Skane

  • Marriage & Family Therapist
  • Clearwater, FL
National Provider Identifier
1295030856
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2954 Issued in FL
Practice address
611 Druid Road E
Suite 704
Clearwater, FL 33756-3939
Phone
(802) 727-0246
Fax
(813) 229-6609
NPI assigned
Jan 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 2954 FL Primary

Addresses

Primary practice location

611 Druid Road E
Suite 704
Clearwater, FL 33756-3939

Mailing address

611 Druid Rd E Ste 704
Clearwater, FL 33756-3939
Phone (802) 727-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240423003144 FL Practitioner - Marriage and Family Therapist 3072952001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 Gulf to Bay Blvd
Suite 315
Clearwater, FL 33759-4304

611 Druid Rd E
Clearwater, FL 33756-3939
Phone (802) 727-0246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Reconstruction, LLC. Marriage & Family Therapist CurrentSince Mar 5, 2024 Accepting new patients

Locations

3000 Gulf To Bay Blvd
Ste 315
Clearwater, FL 33759

611 Druid Rd E
Ste 704
Clearwater, FL 33756
Phone (802) 727-0246

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1295030856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 DRUID RD E STE 704",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563939",
            "telephone_number": "802-727-0246",
            "fax_number": "803-229-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 DRUID ROAD E",
            "address_2": "SUITE 704",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563939",
            "telephone_number": "802-727-0246",
            "fax_number": "813-229-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKANE",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "2954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.