SKT Enterprises, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SKT ENTERPRISES, INC

Practice address

12447 Stratford Dr
Clive, IA 50325

Phone

(319) 855-3549

NPI assigned

Jan 13, 2023

Organization subpart

No

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

Authorized official

Name

Sam Tierney

Title

Treasurer

Phone

(319) 855-3549

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1447965488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 GOLF CIR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661532",
            "telephone_number": "319-855-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12447 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "319-855-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKT ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "TIERNEY",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "319-855-3549"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.