Individual provider Active NPI

Peter Philip Skutt

  • Art Therapist
  • Portland, OR
National Provider Identifier
1902681745
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
Practice address
1942 NW Kearney St Ste 11
Portland, OR 97209-1463
Phone
(503) 922-6136
NPI assigned
Aug 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X Primary

Addresses

Primary practice location

1942 NW Kearney St Ste 11
Portland, OR 97209-1463

Mailing address

1942 NW Kearney St Ste 11
Portland, OR 97209-1463

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sakura Counseling, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

1942 NW Kearney St
Ste 11
Portland, OR 97209
Phone (503) 224-9242

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": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1902681745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 NW KEARNEY ST STE 11",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 NW KEARNEY ST STE 11",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091463",
            "telephone_number": "503-922-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUTT",
        "first_name": "PETER",
        "middle_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.