Nicole Alexis Skinner, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008763 Issued in NY

Practice address

3600 New York 112
Coram, NY 11727

Phone

(516) 355-8677

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1366833550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BROADWAY AVE",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414917",
            "telephone_number": "516-355-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NEW YORK 112",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "11727",
            "telephone_number": "516-355-8677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Holbrook",
            "state": "NY",
            "postal_code": "117414917",
            "country_code": "US",
            "telephone_number": "516-355-8677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "NICOLE",
        "middle_name": "ALEXIS",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Willa Siegfried
• Jeannine Frances Signorelli
• Sarah Sikand, PA-C
• Rachel Silverberg, RN
• Nicole Silvestre
• Latrese Amilia Smiley
• Brigett Anne Echeverria Smith
• Caroline Mary Smith
• Danisha Smith
• Jennifer Romaine Smith, RN

• Mental Health Counselor in Coram, NY
• Providers in Coram, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.