Brent Cameron Skinner, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2020024314 Issued in MO

Practice address

205 Park Central E Ste 305
Springfield, MO 65806-6014

Phone

(417) 324-5411

NPI assigned

Aug 5, 2020

Sex

Male

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

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.

• College Skyline Center LLC

  • Clinic/Center
  • Joplin, MO
  • NPI 1598764110
  NPD (past)

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1417567322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3958 W CAMBRIDGE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075550",
            "telephone_number": "417-438-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARK CENTRAL E STE 305",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658066014",
            "telephone_number": "417-324-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "BRENT",
        "middle_name": "CAMERON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2020024314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Skeins Jr., M.D.
• Barbara J Skibiski, CRNA
• Margaret M Skidmore, LPC
• Skilled Health Facilities, Inc.
• Abigail Michelle Skinner
• James William Skinner, MSN, APRN, PMHNP-BC
• Tiffany A Skinner, PLPC
• States Victor Skipper, LPC
• Julie Skodak, MSW, LCSW
• Linda Skolnick, PSYD

• Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.