Individual provider Active NPI

Judith S Skinner, LPC-MHSP

  • Mental Health Counselor
  • Murfreesboro, TN
National Provider Identifier
1295852416
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0000003082 Issued in TN
Practice address
405 Uptown SQ Ste F
Murfreesboro, TN 37129-0575
Phone
(615) 477-5266
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC0000003082 TN Primary
Professional Counselor 101YP2500X LPC004206 GA

Addresses

Primary practice location

405 Uptown SQ Ste F
Murfreesboro, TN 37129-0575

Mailing address

5003 Claude Dr
Smyrna, TN 37167-9385
Phone (615) 477-5266

Other names 1

  • Judith S Skinner Former name

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
LPC0000003082TNMDMental Health Counselor
LPC004206GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uniquely You Professional Counseling Services, LLC Mental Health Current Accepting new patients

Locations

304 Uptown Sq
Ste A5
Murfreesboro, TN 37129
Phone (615) 477-5266

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1295852416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 CLAUDE DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371679385",
            "telephone_number": "615-477-5266",
            "fax_number": "615-203-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 UPTOWN SQ STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290575",
            "telephone_number": "615-477-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "JUDITH",
        "middle_name": "S",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000003082",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "SKINNER",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.