Individual provider Active NPI

Douglas Daniel Skyers, LMHC

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1457946907
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10004162 Issued in MA
Practice address
10 Mallon Rd
Boston, MA 02121-3814
Phone
(617) 816-9689
Fax
(000) 000-0000
NPI assigned
Mar 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC10004162 MA Primary

Addresses

Primary practice location

10 Mallon Rd
Boston, MA 02121-3814

Mailing address

10 Mallon Rd
Boston, MA 02121-3814
Phone (617) 816-9689

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL Douglas_skyers@williamjames.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250922001703 MA Practitioner - Mental Health Counselor 3577067529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

45 Dimock St
Roxbury, MA 02119-1208
Phone (617) 442-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC10004162MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dimock Community Services Corporation Current Accepting new patients
Dimock Community Health Center, Inc CurrentSince Jul 5, 2025 Accepting new patients

Locations

41 Dimock St
Roxbury, MA 02119

45 Dimock St
Roxbury, MA 02119

55 Dimock St
Roxbury, MA 02119

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1457946907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MALLON RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021213814",
            "telephone_number": "617-816-9689",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MALLON RD",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021213814",
            "telephone_number": "617-816-9689",
            "fax_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKYERS",
        "first_name": "DOUGLAS",
        "middle_name": "DANIEL",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-06",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10004162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Douglas_skyers@williamjames.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Mallon Rd",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021213814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.