Eric Stefan Schuck

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3614 Issued in MN

Practice address

7525 Village Dr Ste 130
Lino Lakes, MN 55014-1305

Phone

(763) 327-1118

NPI assigned

Mar 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Skeleton Key Counseling LLCGroup PAC ID 9537607304, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Skeleton Key Counseling LLC

  • Mental Health Counselor
  • Lake Elmo, MN
  • NPI 1831879238
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1659070258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8468 LAKE JANE TRL N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550429206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 VILLAGE DR STE 130",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141305",
            "telephone_number": "763-327-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8468 Lake Jane Trl N",
            "address_purpose": "LOCATION",
            "city": "Lake Elmo",
            "state": "MN",
            "postal_code": "550429206",
            "country_code": "US",
            "telephone_number": "952-564-8783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUCK",
        "first_name": "ERIC",
        "middle_name": "STEFAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "3614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christine Schifsky, C-FNP
• Ashley K Sellwood, M.S CCC-SLP
• Steven H Slatten, MD
• Vicki Sommerfeldt, MT-BC, NMT, LNHA
• Shauna Stelter, CMT
• Jason James Stenstrom, PTA

• Mental Health Counselor in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.