Individual provider Active NPI

Skye Allen, LMHCA

  • Mental Health Counselor
  • Port Orchard, WA
National Provider Identifier
1831871409
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61395452 Issued in WA
Practice address
450 S Kitsap Blvd Ste 260
Port Orchard, WA 98366-3739
Phone
(360) 698-4860
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 55293J WA
Mental Health Counselor 101YM0800X MC61395452 WA Primary

Addresses

Primary practice location

450 S Kitsap Blvd Ste 260
Port Orchard, WA 98366-3739

Mailing address

1611 W Admiralty Heights LN Apt H206
Bremerton, WA 98312-5994

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

State licenses

LicenseStateTypeSpecialty
MC61395452WAMDMental Health Counselor
55293JWAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Psychological Center, Inc., P.S. PastSince Apr 15, 2022 Accepting new patients
Optum Behavioral Care of Colorado, P.C. PastSince Aug 6, 2023 Accepting new patients
Optum Behavioral Care of Colorado, P.C. PastSince Aug 6, 2023 Accepting new patients

Organizations & group practices 3

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1831871409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W ADMIRALTY HEIGHTS LN APT H206",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983125994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S KITSAP BLVD STE 260",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663739",
            "telephone_number": "360-698-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "SKYE",
        "credential": "LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "WA",
            "license": "55293J",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61395452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.