Timothy Skipworth

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG61091446 Issued in WA

Practice address

6201 Pacific Ave Ste C3
Tacoma, WA 98408-7423

Phone

(253) 363-8853

NPI assigned

Oct 1, 2020

Sex

Male

Sole proprietor

No

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 WA

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

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.

• Mindful Therapy Group PC

  dba Mindful Therapy Group

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Marriage & Family Therapist

  Medicare reassignment NPD
• Life Transitions L.L.C.

  dba Life Transitions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tacoma, WA
  • NPI 1609374040

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1689271710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 PACIFIC AVE STE C3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087423",
            "telephone_number": "253-363-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 PACIFIC AVE STE C3",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087423",
            "telephone_number": "253-363-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPWORTH",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG61091446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayne Skelton
• Jessica Rose Skelton, DO
• Carl Skinner, MD
• James Donray Skinner
• Andrea Skipworth, ARNP
• Brandon Skolos
• Nancy A Skopp, PH.D.
• Wayne A. Sladek, M.D.
• William Slagle, MD
• Marcus Slater

• Marriage & Family Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.