Individual provider Active NPI

Cornelia M Skipton, LCPC

  • Professional Counselor
  • Bowie, MD
National Provider Identifier
1750420634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1641 Issued in MD
Practice address
3060 Mitchellville
Bowie Counseling Services Suite 212
Bowie, MD 20716
Phone
(301) 218-5492
Fax
(301) 218-9514
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LC1641 MD Primary

Addresses

Primary practice location

3060 Mitchellville
Bowie Counseling Services Suite 212
Bowie, MD 20716

Mailing address

3060 Mitchellville
Bowie Counseling Services Suite 212
Bowie, MD 20716
Phone (301) 218-5492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240610002216 DC Practitioner - Mental Health Counselor 2163874835 Practice locations: Rockville, MD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Rockville, MD 20851
Phone (240) 462-3009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750420634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE",
            "address_2": "BOWIE COUNSELING SERVICES SUITE 212",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-218-5492",
            "fax_number": "301-218-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE",
            "address_2": "BOWIE COUNSELING SERVICES SUITE 212",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20716",
            "telephone_number": "301-218-5492",
            "fax_number": "301-218-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPTON",
        "first_name": "CORNELIA",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.