Individual provider Active NPI

Rodney Stephen Skinner, LPC

  • Professional Counselor
  • Mason, MI
National Provider Identifier
1356650295
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401223980 Issued in MI
Practice address
18 W Oak St
Ste 2B
Mason, MI 48854-1667
Phone
(517) 803-0846
NPI assigned
Sep 27, 2010
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401223980 MI Primary

Addresses

Primary practice location

18 W Oak St
Ste 2B
Mason, MI 48854-1667

Mailing address

118 W Oak St Ste 2B
Mason, MI 48854-1667
Phone (517) 803-0846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240717001431 MI Practitioner - Mental Health Counselor 9739624438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care I of Michigan PCGroup PAC ID 9638554298, 19 clinicians

Practice addresses (Care Compare)

330 Lincoln Ave
Iron River, MI 49935-8452
Phone (718) 298-4375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curious Minds Counseling, LLC CurrentSince Oct 13, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Nov 6, 2024 Accepting new patients
Supportive Care I of Michigan PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

330 Lincoln Ave
Iron River, MI 49935
Phone (810) 445-5300

118 W Oak St
Ste 2B
Mason, MI 48854
Phone (517) 803-0846

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 3

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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1356650295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W OAK ST STE 2B",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541667",
            "telephone_number": "517-803-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W OAK ST",
            "address_2": "STE 2B",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541667",
            "telephone_number": "517-803-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "RODNEY",
        "middle_name": "STEPHEN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-27",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401223980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.