Individual provider Active NPI

Renee Marie Skinner, MA, LPC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1598318909
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008525 Issued in VA
Practice address
809 Kent PL
Chesapeake, VA 23320-0768
Phone
(757) 436-0605
Fax
(757) 436-0023
NPI assigned
Jul 24, 2019
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701008525 VA Primary

Addresses

Primary practice location

809 Kent PL
Chesapeake, VA 23320-0768

Mailing address

1019 Fox TRL
Chesapeake, VA 23323-6446
Phone (757) 324-1032

Other practice location 1

1000 Commercial Ln
Suffolk, VA 23434-8148
Phone (757) 942-1069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Counseling Center Inc Single Specialty CurrentSince Feb 11, 2024 Accepting new patients
Western Tidewater Community Mental Single Specialty PastSince May 4, 2012 Accepting new patients
Ronald W. Atwood, M.D., P.C. Single Specialty Past Accepting new patients

Locations

1417 Battlefield Blvd N
Ste 260
Chesapeake, VA 23320
Phone (757) 436-0605

809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1598318909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 FOX TRL",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233236446",
            "telephone_number": "757-324-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 KENT PL",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200768",
            "telephone_number": "757-436-0605",
            "fax_number": "757-436-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Commercial Ln",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234348148",
            "country_code": "US",
            "telephone_number": "757-942-1069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.