Organization Active NPI

Skeleton Key Counseling LLC

  • Mental Health Counselor
  • Lake Elmo, MN
National Provider Identifier
1831879238
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SKELETON KEY COUNSELING LLC
Practice address
8468 Lake Jane TRL N
Lake Elmo, MN 55042-9206
Phone
(763) 327-1118
NPI assigned
Jul 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Eric Stefan Schuck, LPCCNPI 1659070258
Title
Owner
Phone
(763) 327-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

8468 Lake Jane TRL N
Lake Elmo, MN 55042-9206

Mailing address

8468 Lake Jane TRL N
Lake Elmo, MN 55042-9206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240813000525 MN Part B Supplier - Clinic/Group Practice 9537607304 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Elmo, MN

National Provider Directory

National Provider Directory

Locations

8673 Eagle Point Blvd
Lake Elmo, MN 55042
Phone (651) 209-9383

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1831879238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8468 LAKE JANE TRL N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550429206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8468 LAKE JANE TRL N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550429206",
            "telephone_number": "763-327-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKELETON KEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "SCHUCK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "STEFAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-327-1118",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elmo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.