Individual provider Active NPI

Svetlana Bruk Skornyakov, M.S., MFT

  • Marriage & Family Therapist
  • Aurora, CO
National Provider Identifier
1881147015
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT0001557 Issued in CO
Practice address
2600 South Parker Rd
Building 5 Suite 155
Aurora, CO 80014
Phone
(720) 669-3962
NPI assigned
Jul 23, 2016
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT93502 CA
Marriage & Family Therapist 106H00000X MFT0001557 CO Primary

Addresses

Primary practice location

2600 South Parker Rd
Building 5 Suite 155
Aurora, CO 80014

Mailing address

6760 S Fultondale CT
Aurora, CO 80016-4133
Phone (650) 455-5940

Other practice location 1

1720 S Amphlett Blvd
Suite 220E
San Mateo, CA 94402-2702
Phone (650) 455-5940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240101000207 CO Practitioner - Marriage and Family Therapist 1951751155 Reassigns benefits to 1 organization
I20240807004629 CA Practitioner - Marriage and Family Therapist 1951751155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foresight Mental HealthGroup PAC ID 6103176219, 22 clinicians

Practice addresses (Care Compare)

1000 G St
Suite 125
Sacramento, CA 95814-0894
Phone (888) 588-8995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LMFT93502CAMDMarriage & Family Therapist
MFT0001557COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Valued Living, PLLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients
Center for Valued Living, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Foresight Mental Health Marriage & Family Therapist CurrentSince Jul 24, 2024 Accepting new patients
Center for Valued Living PLLC Past Accepting new patients

Locations

1000 G St
Ste 125
Sacramento, CA 95814
Phone (510) 345-4379

20971 E Smoky Hill Rd
Ste 204
Aurora, CO 80015
Phone (720) 445-5496

3600 S Beeler St
Ste 110
Denver, CO 80237

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1881147015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 S FULTONDALE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800164133",
            "telephone_number": "650-455-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SOUTH PARKER RD",
            "address_2": "BUILDING 5 SUITE 155",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80014",
            "telephone_number": "720-669-3962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 S Amphlett Blvd",
            "address_2": "Suite 220E",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944022702",
            "country_code": "US",
            "telephone_number": "650-455-5940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKORNYAKOV",
        "first_name": "SVETLANA",
        "middle_name": "BRUK",
        "credential": "M.S., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT93502",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "MFT0001557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.