Individual provider Active NPI

Cherie C Skillings, LPC

  • Professional Counselor
  • Bend, OR
National Provider Identifier
1699032300
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C2893 Issued in OR
Practice address
2190 NE Professional CT Ste 250
Bend, OR 97701-6988
Phone
(541) 419-3333
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C2893 OR Primary

Addresses

Primary practice location

2190 NE Professional CT Ste 250
Bend, OR 97701-6988

Mailing address

PO Box 6832
Bend, OR 97708-6832
Phone (541) 410-3941

Other identifiers 1

IdentifierTypeStateIssuer
500812162MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cherie77@skillingscounselingservices.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20240212001052 OR Practitioner - Mental Health Counselor 4880037498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2190 NE Professional CT
Bend, OR 97701-6985
Phone (541) 419-0333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cherie Skillings Counseling Services Inc Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

2190 NE Professional Ct
Ste 250
Bend, OR 97701
Phone (541) 221-6653

2700 NE 4th St
Ste 240
Bend, OR 97701
Phone (541) 382-9268

2190 NE Professional Ct
Bend, OR 97701
Phone (541) 382-8622

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": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1699032300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6832",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086832",
            "telephone_number": "541-410-3941",
            "fax_number": "541-919-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 NE PROFESSIONAL CT STE 250",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016988",
            "telephone_number": "541-419-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKILLINGS",
        "first_name": "CHERIE",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2022-12-21",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500812162",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cherie77@skillingscounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "address_1": "2190 NE Professional Ct Ste 250",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.