Active NPI
Steven Alan Skoblow, LMHC
- Mental Health Counselor
- Pittsfield, MA
National Provider Identifier
1841369162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5044
- Practice address
- 251 Fenn St
Brien Center
Pittsfield, MA 01201-5269 - Phone
- (413) 496-9671
- Fax
- (413) 445-6242
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5044 | MA | Primary |
Addresses
Primary practice location
251 Fenn St
Brien Center
Pittsfield, MA 01201-5269
Mailing address
2 Pomeroy Ave
Dalton, MA 01226-1441
Phone (413) 684-4746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31717 | Other | MA | HEALTH NEW ENGLAND |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5044 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841369162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 POMEROY AVE",
"city": "DALTON",
"state": "MA",
"postal_code": "012261441",
"telephone_number": "413-684-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 FENN ST",
"address_2": "BRIEN CENTER",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012015269",
"telephone_number": "413-496-9671",
"fax_number": "413-445-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOBLOW",
"first_name": "STEVEN",
"middle_name": "ALAN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "31717",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.