Mark W Skrien, MA, LP, LMFT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1295 Issued in MN

Practice address

610 Florence Ave
Owatonna, MN 55060-4704

Phone

(507) 451-2630

Fax

(507) 455-8133

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1740370402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 FLORENCE AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 FLORENCE AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604704",
            "telephone_number": "507-451-2630",
            "fax_number": "507-455-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRIEN",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "MA, LP, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1295",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "62-20365",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57443SK",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP18250",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "117883",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Shooltz
• Shoptikal LLC
• Rochelle Shultz
• Brittany Sibenaller, PT
• Brandon Simmons, O.T.R.
• Teresa Slawson
• Smith Dental Care, P.a.
• Dean Edward Smith
• Jodie Marie Smith, ARNP, FNP-BC
• Thomas M Smith, DDS

• Psychologist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.