Individual provider Active NPI

Julie Skokna, RN LCPC NCC

  • Mental Health Counselor
  • Countryside, IL
National Provider Identifier
1790376416
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180013380 Issued in IL
Practice address
5446 S Madison Ave
Countryside, IL 60525-2857
Phone
(708) 546-7763
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 180.013380 IL
Registered Nurse 163W00000X 041.219702 IL
Mental Health Counselor 101YM0800X 180013380 IL Primary

Addresses

Primary practice location

5446 S Madison Ave
Countryside, IL 60525-2857

Mailing address

5446 S Madison Ave
Countryside, IL 60525-2857
Phone (708) 546-7763

Other identifiers 1

IdentifierTypeStateIssuer
102959-875OtherWISTATE OF WISCONSIN LPC LICENSE TEMPORARY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240129003653 IL Practitioner - Mental Health Counselor 6103279849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5446 S Madison Ave
Countryside, IL 60525-2857
Phone (708) 546-7763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
180.013380ILMDAddiction (Substance Use Disorder) Counselor
041.219702ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Akeru Therapy PLLC CurrentSince Jan 1, 2024 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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1790376416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5446 S MADISON AVE",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605252857",
            "telephone_number": "708-546-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5446 S MADISON AVE",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605252857",
            "telephone_number": "708-546-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOKNA",
        "first_name": "JULIE",
        "credential": "RN LCPC NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "180.013380",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.219702",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180013380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WISCONSIN LPC LICENSE TEMPORARY",
            "identifier": "102959-875",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Countryside, IL

Sources for this page

Verify at the official NPI Registry.