Tynisha L Skinnell, LPC-A

Primary specialty

CounselorTaxonomy code 101Y00000X

License

96457 Issued in TX

Practice address

6502 Bandera Rd Ste 101
San Antonio, TX 78238-1445

Phone

(210) 769-3811

Fax

(210) 634-2517

NPI assigned

Nov 2, 2024

Last updated

Nov 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tynisha L Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stellar Counseling PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1780169839
  NPD (past)

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1770306383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381445",
            "telephone_number": "210-769-3811",
            "fax_number": "210-634-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381445",
            "telephone_number": "210-769-3811",
            "fax_number": "210-634-2517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 S New Braunfels Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782103019",
            "country_code": "US",
            "telephone_number": "210-769-3811",
            "fax_number": "210-634-2517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNELL",
        "first_name": "TYNISHA",
        "middle_name": "L",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "96457",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "96457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYNISHA",
            "last_name": "ANDERSON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Skin Bliss the Laser Spa Clinic & Aesthetics Institute
• Skin by Design Dermatology & Laser Center PA
• Skin Cancer Dermatology, PLLC
• Skin Institute
• Skin Surgery of San Antonio, PA
• Skinner Clinic, PA
• Arianna Skinner-Beck, LMFT
• Barton Skinner, NP
• Clay R Skinner, M.D.
• Denise Lynne Skinner, MASSAGE THERAPIST

• Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.