Individual provider Active NPI

Mary Theresa Skubal, M.S., CVE, CRC

  • Rehabilitation Counselor
  • Saint Paul, MN
National Provider Identifier
1487995312
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Practice address
3550 Lexington Ave N
Suite 205
Saint Paul, MN 55126-8075
Phone
(952) 922-6907
Fax
(651) 484-2356
NPI assigned
Mar 1, 2013
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X NU Primary

Addresses

Primary practice location

3550 Lexington Ave N
Suite 205
Saint Paul, MN 55126-8075

Mailing address

PO Box 120501
Saint Paul, MN 55112-0019
Phone (952) 922-6907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1487995312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120501",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551120019",
            "telephone_number": "952-922-6907",
            "fax_number": "651-484-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE N",
            "address_2": "SUITE 205",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551268075",
            "telephone_number": "952-922-6907",
            "fax_number": "651-484-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUBAL",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "credential": "M.S., CVE, CRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.