Individual provider Active NPI

Michael J Skoda, LPCC-S, LICDC, SAP

  • Professional Counselor
  • Broadview Heights, OH
National Provider Identifier
1891092128
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1000455-SUPV Issued in OH
Practice address
7750 Town Centre Dr Ste 600
Broadview Heights, OH 44147-4052
Phone
(440) 547-8200
NPI assigned
Feb 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.141063 OH
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X E.1000455-SUPV OH Primary

Addresses

Primary practice location

7750 Town Centre Dr Ste 600
Broadview Heights, OH 44147-4052

Mailing address

7750 Town Centre Dr Ste 600
Broadview Heights, OH 44147-4052
Phone (440) 547-8200

Other identifiers 1

IdentifierTypeStateIssuer
0206683MedicaidOH

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
LICDC.141063OHMDAddiction (Substance Use Disorder) Counselor
E.1000455-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Skoda & Associates LLC Professional Current Accepting new patients
Flying High Inc. Multi-Specialty Past Accepting new patients

Locations

26777 Lorain Rd
Ste 403
North Olmsted, OH 44070
Phone (216) 741-0589

Organizations & group practices 2

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1891092128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 TOWN CENTRE DR STE 600",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474052",
            "telephone_number": "440-547-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 TOWN CENTRE DR STE 600",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474052",
            "telephone_number": "440-547-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKODA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPCC-S, LICDC, SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.141063",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1000455-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206683",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.