Individual provider Active NPI

Jeff Skeens, LAMFT, MMFT, MDIV

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1619518826
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAMFT-10645 Issued in AZ
Practice address
4747 N 7TH St Ste 450
Phoenix, AZ 85014-3851
Phone
(602) 456-2835
NPI assigned
Sep 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAMFT-10645 AZ Primary

Addresses

Primary practice location

4747 N 7TH St Ste 450
Phoenix, AZ 85014-3851

Mailing address

4747 N 7TH St Ste 450
Phoenix, AZ 85014-3851
Phone (602) 456-2835

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

State licenses

LicenseStateTypeSpecialty
LAMFT-10645AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Kineo Center LLC Mental Health CurrentSince Mar 12, 2024 Accepting new patients

Locations

5320 N 16th St
Ste 110
Phoenix, AZ 85016
Phone (602) 388-3838

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1619518826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N 7TH ST STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143851",
            "telephone_number": "602-456-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 N 7TH ST STE 450",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143851",
            "telephone_number": "602-456-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEENS",
        "first_name": "JEFF",
        "name_prefix": "Mr.",
        "credential": "LAMFT, MMFT, MDIV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAMFT-10645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.