Corrina Lea Skildum, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60521561 Issued in WA

Practice address

10342 Ravenna Ave NE
Seattle, WA 98125-9812

Phone

(206) 450-3741

NPI assigned

Feb 2, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Corrina Skildum, PLLC

  • Adult Mental Health Clinic/Center
  • Seattle, WA
  • NPI 1972326841
  NPD Authorized official

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

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1346589926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10342 RAVENNA AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257744",
            "telephone_number": "206-450-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10342 RAVENNA AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981259812",
            "telephone_number": "206-450-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILDUM",
        "first_name": "CORRINA",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60521561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Christine Skidmore
• Gregory Todd Skidmore, LMP
• Jennie Skidmore
• Sheri Skidmore
• Kevin Drew Skiena, LICSW
• Christy A. Skimming, MSW, LICSW
• Skin Cancer Clinic of Seattle Inc PS
• Skin Surgery Center PS
• Skin Surgery Center, P.S.
• Camille Midori Skinner

• Mental Health Counselor in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.