Individual provider Active NPI

Benjamin Bruce Skoropinski, M.A., L.M.H.C.A.

  • Mental Health Counselor
  • Woodinville, WA
National Provider Identifier
1306239454
Registry record updated Mar 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60163954 Issued in WA
Practice address
20205 144TH Ave NE
Woodinville, WA 98072-4451
Phone
(206) 218-3562
NPI assigned
Mar 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60163954 WA Primary

Addresses

Primary practice location

20205 144TH Ave NE
Woodinville, WA 98072-4451

Mailing address

PO Box 436
Duvall, WA 98019-0436
Phone (206) 218-3562

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

State licenses

LicenseStateTypeSpecialty
MC60163954WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1306239454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980190436",
            "telephone_number": "206-218-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20205 144TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724451",
            "telephone_number": "206-218-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOROPINSKI",
        "first_name": "BENJAMIN",
        "middle_name": "BRUCE",
        "credential": "M.A., L.M.H.C.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-13",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60163954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.