Gary Frank Skaleski, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4205-125 Issued in WI

Practice address

500 Elm Grove Rd Ste 100
Elm Grove, WI 53122-2546

Phone

(262) 782-2090

Fax

(262) 782-2002

NPI assigned

Oct 25, 2010

Last updated

Oct 25, 2010By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trillium Care Group LLC

  • Psychologist
  • Elm Grove, WI
  • NPI 1477629640
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1407156490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ELM GROVE RD STE 100",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222546",
            "telephone_number": "262-782-2090",
            "fax_number": "262-782-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ELM GROVE RD STE 100",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222546",
            "telephone_number": "262-782-2090",
            "fax_number": "262-782-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALESKI",
        "first_name": "GARY",
        "middle_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4205-125",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.000368",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annamarie Seminary
• Serendipity Psychotherapy and Medication Management
• Shanti Mental Health Center LLC
• Theresa Marie Shuck, MS,MA,LCGC,LPC
• Kenneth A Sieczkowski, CADC-III
• Shelly M Smith, LMFT
• Mark G Snyder, PT
• Michael J. Sonney-Kamanski, RN
• Specialized Therapy Services LLC
• St Luk4Es Medical Center

• Professional Counselor in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.