Laura S Skinner

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5323-125 Issued in WI

Practice address

124 N Franklin St
Port Washington, WI 53074-1901

Phone

(262) 365-9825

NPI assigned

Apr 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Navigate Wellness Health Group, LLC

  • Professional Counselor
  • Mequon, WI
  • NPI 1316580871
  NPD Authorized official
• Solutions Behavioral Health Group, SC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mequon, WI
  • NPI 1487701645
  NPD (past)

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1891114435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 N PORT WASHINGTON RD STE 101B",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923432",
            "telephone_number": "262-365-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N FRANKLIN ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741901",
            "telephone_number": "262-365-9825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11124 N Cedarburg Rd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530924361",
            "country_code": "US",
            "telephone_number": "262-478-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "LAURA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "5323-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE, WI",
            "identifier": "5323-125",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shopko Stores Operating Co LLC
• Angella Adelle Siegel, OTR
• Cheryl L Simon, RN
• Simplistic Nutrition LLC
• Jaclyn Sitkowski
• Chris Smith, MDIV LMFT
• Allen R Spaude, DC
• Richard Spenner Sr.
• Steven J. Carini DDS
• Barrett Duane Straub, DDS

• Professional Counselor in Port Washington, WI
• Providers in Port Washington, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.