Individual provider Active NPI

Elizabeth Yolanda Skjoldal, PH.D.

  • Counseling Psychologist
  • McHenry, IL
National Provider Identifier
1932331915
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY4936 Issued in FL
Practice address
5435 Bull Valley Rd Ste 206
McHenry, IL 60050-7435
Phone
(305) 588-2464
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY4936 FL Primary

Addresses

Primary practice location

5435 Bull Valley Rd Ste 206
McHenry, IL 60050-7435

Mailing address

5435 Bull Valley Rd
McHenry, IL 60050-7434
Phone (786) 379-4466

Other identifiers 6

IdentifierTypeStateIssuer
P3N90K50NOtherFLOPTUM
013881305MedicaidFL
273086000OtherFLAVMED
5941OtherFLBLUE CROSS BLUE SHIELD
721904OtherFLBEACON
9367379OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251014003862 IL Practitioner - Clinical Psychologist 3577704634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cherry Hill Associates, LLCGroup PAC ID 1557523552, 25 clinicians

Practice addresses (Care Compare)

5435 Bull Valley Rd
Suite 230
McHenry, IL 60050-7435
Phone 8473054949102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Hill Associates, LLC CurrentSince Aug 29, 2025 Accepting new patients
New Foundation Counseling Center, Inc. Counseling PastSince Aug 25, 2019 Accepting new patients

Locations

61 S Old Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-4222

5435 Bull Valley Rd
Ste 206
McHenry, IL 60050
Phone (815) 575-8181

5435 Bull Valley Rd
Ste 230
McHenry, IL 60050
Phone 8473054949102

5435 Bull Valley Rd
McHenry, IL 60050
Phone (815) 893-7975

Organizations & group practices 3

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": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1932331915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 BULL VALLEY RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507434",
            "telephone_number": "786-379-4466",
            "fax_number": "305-363-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 BULL VALLEY RD STE 206",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600507435",
            "telephone_number": "305-588-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKJOLDAL",
        "first_name": "ELIZABETH",
        "middle_name": "YOLANDA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY4936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "P3N90K50N",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013881305",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "273086000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5941",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "721904",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9367379",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.