Shelley Skas Ma LCPC SC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180007474 Issued in IL

Legal business name

SHELLEY SKAS MA LCPC SC

Doing business as

Healing Center at Silver Lake Gardens

Practice address

15127 S 73Rd Ave
Suite C
Orland Park, IL 60462-4398

Phone

(708) 586-9303

Fax

(866) 950-9427

NPI assigned

Apr 1, 2010

Organization subpart

No

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

Authorized official

Name

Shelley Skas, LCPC

Title

Licensed Clincial Professional Coun

Phone

(708) 586-9303

Specialties & licenses 1

Addresses

Other names 1

• Healing Center at Silver Lake Gardens Doing business as

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1700101870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15127 S 73RD AVE",
            "address_2": "SUITE C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624398",
            "telephone_number": "708-586-9303",
            "fax_number": "886-950-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15127 S 73RD AVE",
            "address_2": "SUITE C",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624398",
            "telephone_number": "708-586-9303",
            "fax_number": "866-950-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY SKAS MA LCPC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "SKAS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "LICENSED CLINCIAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "708-586-9303",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Center at Silver Lake Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.