Individual provider Active NPI

Barbara Skodje-Mack, EDD, LMFT, LPCC

  • Marriage & Family Therapist
  • Saint Cloud, MN
National Provider Identifier
1609933498
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1417 Issued in MN
Practice address
1900 Centracare Cir Ste 1000
Saint Cloud, MN 56303-5000
Phone
(320) 229-5199
Fax
(202) 295-1413
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 98 MN
Marriage & Family Therapist 106H00000X 1417 MN Primary

Addresses

Primary practice location

1900 Centracare Cir Ste 1000
Saint Cloud, MN 56303-5000

Mailing address

1900 Centracare Cir Ste 1000
Saint Cloud, MN 56303-5000
Phone (320) 229-4945

Other practice location 1

1406 6th Ave N
Saint Cloud, MN 56303-1900
Phone (320) 251-2700

Other identifiers 5

IdentifierTypeStateIssuer
01044729OtherMNPREFERRED ONE
136391OtherMNUCARE
098402000MedicaidMN
155H2SKOtherMNBLUE CROSS BLUE SHIELD
HP56449OtherMNHEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240205003400 MN Practitioner - Marriage and Family Therapist 3678916814 Reassigns benefits to 4 organizations
I20240507002759 MN Practitioner - Mental Health Counselor 3678916814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1417MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centracare Clinic Current Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2024 Accepting new patients
St. Cloud Hospital CurrentSince Jan 1, 2024 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
Centracare Clinic CurrentSince Jan 1, 2024 Accepting new patients
Centracare Health System - Sauk Centre CurrentSince Jan 1, 2024 Accepting new patients
Cura of Sauk Centre LLC CurrentSince Jan 1, 2024 Accepting new patients
St. Cloud Hospital Current Accepting new patients
St. Cloud Hospital CurrentSince Feb 18, 2024 Accepting new patients
Centracare Health System - Sauk Centre Current Accepting new patients
St. Cloud Hospital Current Accepting new patients
St. Cloud Hospital CurrentSince Jan 1, 2024 Accepting new patients
Centracare Clinic Past Accepting new patients
Mankato Psychology Clinic, PLC Mental Health PastSince Nov 1, 1994 Accepting new patients
Centracare Clinic Past Accepting new patients

Locations

12800 Rolling Ridge Rd
Becker, MN 55308
Phone (763) 261-7000

715 1st St N
Cold Spring, MN 56320
Phone (320) 685-3693

1555 Northway Dr
Ste 110
Saint Cloud, MN 56303
Phone (320) 255-7195

1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657

1900 Centracare Cir
Ste 1000
Saint Cloud, MN 56303
Phone (320) 229-4976

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

1555 Northway Dr
#H
Saint Cloud, MN 56303
Phone (320) 240-3157

1900 Centracare Cir
Ste 1340
Sartell, MN 56303
Phone (320) 229-5105

425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221

110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1609933498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR STE 1000",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-4945",
            "fax_number": "320-229-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIR STE 1000",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563035000",
            "telephone_number": "320-229-5199",
            "fax_number": "202-295-1413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1406 6th Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563031900",
            "country_code": "US",
            "telephone_number": "320-251-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKODJE-MACK",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "EDD, LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "98",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01044729",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "136391",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098402000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "155H2SK",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP56449",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.