Ebony Skinner, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

204 E Main St Ste C
Crowley, TX 76036-2650

Phone

(817) 229-8970

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mindful Purpose-Guided Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Fort Worth, TX
  • NPI 1578229738
  NPD Authorized official

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1922653393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33197",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761623197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E MAIN ST STE C",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760362650",
            "telephone_number": "817-229-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Bryant Irvin Rd # 33197",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761324135",
            "country_code": "US",
            "telephone_number": "817-229-8970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "EBONY",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linsey Schofield, DPT
• Christine Serrano
• Meredith Lynn Sexton, NP
• S M Noorahmed Siddiquee, LPC
• Simple Dental PLLC
• Odalis P Skur, D.D.S.
• Jennifer Smith, MAT, LAT, ATC
• Jennifer Smith, LCDC,SAP
• Joshua Ty Smith, D.D.S.
• Salina Lucille Smizer-Harris

• Professional Counselor in Crowley, TX
• Providers in Crowley, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.