Minirth Skipper Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINIRTH SKIPPER CLINIC

Doing business as

Minirth Skipper Counseling Clinic

Practice address

1835 E Republic Rd
Suite 204
Springfield, MO 65807

Phone

(417) 887-3822

Fax

(417) 887-7773

NPI assigned

May 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Myra Ann Skipper

Title

Corporate Secretary Myra

Phone

(417) 887-3822

Specialties & licenses 1

Addresses

Other names 1

• Minirth Skipper Counseling Clinic Doing business as

Locations

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.

• States Victor Skipper, LPC

  • Mental Health Counselor
  • Springfield, MO
  • NPI 1114117462
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518168129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 W REPUBLIC RD",
            "address_2": "#360",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E REPUBLIC RD",
            "address_2": "SUITE 204",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-887-3822",
            "fax_number": "417-887-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIRTH SKIPPER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKIPPER",
        "authorized_official_first_name": "MYRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CORPORATE SECRETARY MYRA",
        "authorized_official_telephone_number": "417-887-3822",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minirth Skipper Counseling Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.