Ann M. Skirvin, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

H1279110 39000645 Issued in IN

Practice address

635 N College Ave
Bloomington, IN 47404-3871

Phone

(812) 345-3974

Fax

(812) 323-8952

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1386834380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043871",
            "telephone_number": "812-345-3974",
            "fax_number": "812-323-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N COLLEGE AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043871",
            "telephone_number": "812-345-3974",
            "fax_number": "812-323-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIRVIN",
        "first_name": "ANN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "H1279110 39000645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Ray Sinning III, MS, LAT,ATC
• Megan Sipes, RBT
• Sira Imaging Center LLC
• Sira Radiation Oncology Associates LLC
• Jessica L Sira, RBT
• Stacey Skomp
• Jillian Skor
• Kelli J Skram, NP
• Debra L Slikkers, LMHC
• Taylor Sloan, PHARMD

• Mental Health Counselor in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.