Active NPI
Michelle Skirtich
- Professional Counselor
- Dover, OH
National Provider Identifier
1831955434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2405859
- Practice address
- 130 W 3Rd St
Dover, OH 44622-2934 - Phone
- (330) 343-6600
- NPI assigned
- Feb 22, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C.2405859 | OH | Primary |
Addresses
Primary practice location
130 W 3Rd St
Dover, OH 44622-2934
Mailing address
130 W 3Rd St
Dover, OH 44622-2934
Phone (330) 343-6600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2405859 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan L Dunn, PH.D., Inc | Professional | Current | Accepting new patients |
Locations
130 W 3rd St
Dover, OH 44622
Phone (330) 343-6600
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": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1831955434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 W 3RD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222934",
"telephone_number": "330-343-6600",
"fax_number": "330-343-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 W 3RD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222934",
"telephone_number": "330-343-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIRTICH",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "C.2405859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.