Active NPI
Amy B Skiver, MA
- Counselor
- De Pere, WI
National Provider Identifier
1821184755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 375112S
- Practice address
- 416 George St Ste 108
De Pere, WI 54115-2773 - Phone
- (920) 645-2810
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 375112S | WI | Primary |
Addresses
Primary practice location
416 George St Ste 108
De Pere, WI 54115-2773
Mailing address
416 George St Ste 108
De Pere, WI 54115-2773
Phone (920) 645-2810
Other practice location 1
130 E Walnut St
Green Bay, WI 54301-4239
Phone (920) 437-8256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41002000 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@timepeacewellness.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 375112S | WI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1821184755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 GEORGE ST STE 108",
"city": "DE PERE",
"state": "WI",
"postal_code": "541152773",
"telephone_number": "920-645-2810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 GEORGE ST STE 108",
"city": "DE PERE",
"state": "WI",
"postal_code": "541152773",
"telephone_number": "920-645-2810"
}
],
"practiceLocations": [
{
"address_1": "130 E Walnut St",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543014239",
"country_code": "US",
"telephone_number": "920-437-8256",
"fax_number": "920-437-1188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKIVER",
"first_name": "AMY",
"middle_name": "B",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "375112S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41002000",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@timepeacewellness.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "416 George St Ste 108",
"city": "DE Pere",
"state": "WI",
"country_code": "US",
"postal_code": "541152773",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in De Pere, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.