Individual provider Active NPI

Tonilyn Skater, MC

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
National Provider Identifier
1770519308
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC - 11659 Issued in AZ
Practice address
3939 S Park Ave
Tucson, AZ 85714-1635
Phone
(520) 333-4320
Fax
(520) 207-0542
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC - 11659 AZ Primary
Mental Health Counselor 101YM0800X LPC 12831 AZ

Addresses

Primary practice location

3939 S Park Ave
Tucson, AZ 85714-1635

Mailing address

4949 S. Park Ave
Tucson, AZ 85714-2005
Phone (520) 333-4320

Other names 1

  • Tonilyn Brooks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LISAC - 11659AZMDAddiction (Substance Use Disorder) Counselor
LPC 12831AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1770519308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 S. PARK AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142005",
            "telephone_number": "520-333-4320",
            "fax_number": "520-207-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S PARK AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141635",
            "telephone_number": "520-333-4320",
            "fax_number": "520-207-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKATER",
        "first_name": "TONILYN",
        "credential": "MC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC - 11659",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC 12831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONILYN",
            "last_name": "BROOKS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.