Active NPI
Jeff Skeens, LAMFT, MMFT, MDIV
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1619518826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAMFT-10645
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LAMFT-10645 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kineo Center LLC | Mental Health | Current | 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.