NPIMap

Organization Active NPI

Skinner Holistic Health Corporation

  • Professional Counselor
  • Emporia, VA
National Provider Identifier
1487862579
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701000744 Issued in VA
Legal business name
SKINNER HOLISTIC HEALTH CORPORATION
Practice address
158 Pleasant Shade Dr
Emporia, VA 23847-7837
Phone
(434) 348-9071
Fax
(434) 336-0835
NPI assigned
May 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Mr. Marvin Eugene Skinner, L.P.C.NPI 1093751273
Title
Chief Executive Officer
Phone
(434) 348-9071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701000744 VA Primary

Addresses

Primary practice location

158 Pleasant Shade Dr
Emporia, VA 23847-7837

Mailing address

158 Pleasant Shade Dr
Emporia, VA 23847-7837
Phone (434) 348-9071

Other identifiers 3

IdentifierTypeStateIssuer
188273MedicaidVA
086374MedicaidVA
4945280MedicaidVA

National Provider Directory

National Provider Directory

Locations

158 Pleasant Shade Dr
Emporia, VA 23847
Phone (434) 348-9071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1487862579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 PLEASANT SHADE DR",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238477837",
            "telephone_number": "434-348-9071",
            "fax_number": "434-336-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 PLEASANT SHADE DR",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238477837",
            "telephone_number": "434-348-9071",
            "fax_number": "434-336-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINNER HOLISTIC HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "434-348-9071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701000744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188273",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086374",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945280",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.