Organization Active NPI

Skyline Mental Health, LLC

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1699271122
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007474 Issued in VA
Legal business name
SKYLINE MENTAL HEALTH, LLC
Practice address
199 Spotnap Rd Ste 6a
Charlottesville, VA 22911-8827
Phone
(434) 414-1855
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Angela Marie Green, MA, LPCNPI 1164920591
Title
Owner
Phone
(434) 414-1855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 0701007474 VA Primary

Addresses

Primary practice location

199 Spotnap Rd Ste 6a
Charlottesville, VA 22911-8827

Mailing address

199 Spotnap Rd Ste 6a
Charlottesville, VA 22911-8827
Phone (434) 414-1855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1699271122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 SPOTNAP RD STE 6A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118827",
            "telephone_number": "434-414-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SPOTNAP RD STE 6A",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118827",
            "telephone_number": "434-414-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-414-1855",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.